Gamblers/OSSA Membership Application
Print out and send in with payment.
Gamblers/OSSA Year: July 1st to June 30th
Annual Membership Dues
Mark one: (__) New Member (__) Renewal (__) Business
Last Name:______________________________________________________
  First Name:______________________________________________________
  Spouse: ________________________________________________________
  Address: _______________________________________________________
  City: __________________________________________________________
  State/Zip: ______________________________________________________
  Home Phone: __________________Work Phone: _______________________
  Email Address: ___________________________________________________
  Club Name: Wallowa County Gamblers' Snowmobile Club
  No. of Family Members _____________     No. of Machines _______________

           State Association Dues .........................................$ 25.00
           Club Dues ............................................................$ 15.00
           Total Dues Enclosed ............................................$________
           Donation to Legal Action Fund .............................$________