N.B.S.S.R

North Bay Snowmobile Speed Runs

2004 Membership Application

 

PLEASE PRINT AND COMPLETE THIS FORM THEN MAIL IT TO:               

 

N.B.S.S.R

1115 Premier Road

North Bay Ont, Canada

P1A 2J2

 

Name   

Address

Province/State                                                  P.C./Zip Code

Phone   (     )                                                                Fax    (     )

E-mail

 

PLEASE REGISTER THE CLASS OF YOUR SLED(S):

 

1. Up to 500 Stock                                9. 800 Stock                          17. Pro Stock 1000

2. Up to 500 Imp.                                10. 800 Stock s/p                     18. Pro Stock up to 1250

                                                            11. 800 Imp.

 

3. 600 Stock                                        12. 900 Stock                          19. Mod Full Body 1250-1500

4. 600 Stock s/p                                   13. 900 Stock s/p                     20. Mod Lay Down 1250-1500

5. 600 Imp.                                          14. 900 Imp.                      

 

6. 700 Stock                                        15. 1000 Stock                        21. Open Mod Full Body 1500+

7. 700 Stock s/p                                   16. 1000 Imp.                          22. Open Mod Lay Down 1500+

8. 700 Imp.

 

                       

 

 

YEAR

 

MAKE

 

MODEL

 

ENGINE SIZE

 

#CYLINDERS

 

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MEMBERSHIP FEE:  $100.00 per sled Canadian funds GST included. We accept cash or cheques. Please make cheque payable to N.B.S.S.R.