Southern Maine Sno-Goers Membership Application

Date: ____________                (  ) New        (  ) Renewal

Name: __________________________________________                

Date of Birth: ___________________

Address:_____________________________________________________________

City: __________________________________        State: ____________     

Zip Code: ____________

Phone Number: _______________________        

Beneficiary: ________________________________

E-mail Address: _____________________________________


(Please detach at dashed line and mail with check to SMSSC, PO Box 1083, Sanford, ME 04073)
Membership Application
$30 - Membership