Membership TMA

Instructions: Please fill this form out completely, all areas with an * must be completed. Once completed please print this page, and mail your printed form and payment due to: Membership, Chester Snowmobile Club, PO Box 353, Chester, VT 05143. Once your Payment is received your TMA and membership packet will be sent to you. Resident TMA's are available only to Vermont property owners whose sled is registered in Vermont, and must be mailed with payment and a copy of your 2007 Vermont property tax bill. Thank you for joining our club.

(Note to Members: A copy of your current Vermont property tax bill and current Vermont snowmobile registration must accompany your application to receive a Vermont Resident T.M.A.)

Please check type of TMA Requested *

Name of Registered Owner:*

Name of Club Member: *

Address:*

City:* State:* Zip Code: *

e-mail address: *

Telephone Number: *

Year of Snowmobile: * Model:*

Manufacturer:*

Serial Number:*

Registration Number: *

State/Province of Registration:*

Please Enter Total Amount Due....................$*

Please note:
Vermont Resident TMA includes VAST dues, club dues and county dues.

LIMITED LIABILITY STATEMENT

As a member of a snowmobile club I, the undersigned, owner of the snowmobile described above, declare that I am liable for the use of a trail in conformance with the snowmobile laws and rules of the State of Vermont.

Without limiting the generality of the foregoing, I declare that I am well aware of the risks related to the presence of tree branches, stones, and soil on the trail as well as the risks related to the maintenance and signing of a trail. I consequently declare that I deny my own recourse to any damage, be it of any kind, that could happen to me in the use of a trail.

I also pledge that I will inform any person to whom I would lend or rent the snowmobile that I own, of the risks above mentioned and will advise them that the association, the club, or the owner of the trail do not assume any responsibility for the damages they could undergo while using a trail.

Date Signed_____________

Signed__________________________

Please Make Checks Payable to:
(US funds only)

Chester Snowmobile Club

Mail to:
PO Box 353
Chester, Vermont 05143

Submission of this form constitutes that the permit purchaser agrees to the conditions as printed on the TMA and herby agrees that all information submitted is true and correct.