Membership Fee = Only $25 per family

Name: _________________________________________________________

Spouse: ________________________________________________________

Children: _______________________________________________________

Address: _______________________________________________________

City: ____________________________ State: _______ Zip Code: ___________

Telephone (Home): _________________

Telephone (Work): __________________

E-mail Address: __________________________________________________

# of Snowmobiles: _________ Stated Registered In:_________________________

Mail $25 check and completed form to:

Rural Cass Snowmobile Club

PO Box 58

Casselton, ND 58012