Individual membership for a single person.
· Family membership includes husband and wife or Girl friend and Boy friend and children in the house hold up to age 18
North Country ATV Association
N.Y.T.R.O. of Eastern NY
Membership Information and Application
Individual membership is $100.00 per year Due September of every year
Family membership is $125.00 per year Due September of every year
Membership pro rate; September to May Individual $ 100.00 Family $125.00
June to August Individual $150.00 Family $175.00 June to August fee includes the follow year
Please check one Full Membership______ Hunting Membership only__________
You must be licensed and insured to become a member
Name:_____________________________Address:___________________________
City:________________ State:________ Zip Code___________________
Phone:_______________ Date__________ E-Mail:____________________________
Machine Information
Year:_______ Make:_______________ Model:________________ CC:_________
Year:_______ Make:_______________ Model:________________ CC:_________
Use back if more room is needed for machine info
Family Membership Information; Spouse’s Name:____________________
Children under 18 years of old
1st _____________ 2nd ______________3rd________________4th______________
Please include a copy of your registration and Insurance card with your check
Payable to NCATVA
Parking is done on private property so please make sure your parking permits get but on the dash of tow vehicle
Tow vehicle info
1) Plate #;__________________ 2) Plate #;________________3rd Plate #___________________
North Country ATV Association NYTRO of eastern NY Po Box 136 Greenfield Center NY 12833
I agree to up hold all of