Membership
2024
To join our MSA club
Shirley Bog Trail Busters Snowmobile Club
just download and fill out the Membership Application (Dues form)
36 B & A Railroad North Rd., Shirley, Maine 04485 ShirleyBogTrailBusters@gmail.com https://sites.google.com/site/shirleybogtrailbusters
2024 Membership Application
Name __________________________________________________________________ Date____________
Mailing Address___________________________________________________________________________
City/Town/Zip ____________________________________________________________________________
Physical Address__________________________________________________________________________
City/Town/Zip ____________________________________________________________________________
Telephone _______________________________________________________________________________
mail ___________________________________________________________________________________
Name of Primary Club if joining as an Associate Member ________________________________________________________________________________________
MSA Membership Number from current MSA card ________________________________________________
Business Membership:
Business Name _________________________________________________________ Date_____________
Owner’s Name ___________________________________________________________________________
Return enclosed membership dues payable to:
Shirley Bog Trail Busters
36 B & A Railroad North Rd., Shirley, Maine 04485 Dues: Single $20.00/Family $30.00/Business $ 40.00 Associate Family Membership $10.00/Associate Business Membership $20
October 2023