VAST TMA and Club Membership
Application

Billtown Moonshiners
P.O. Box 119
Williamstown, VT  05679
www.billtownmoonshiners.com

PLEASE READ CAREFULLY
Please follow all instructions carefully, especially the information pertaining to the snowmobile.
This information is required and if missing or incomplete the application will be returned.
Individuals are reminded that they must have a TMA and Club card on their person to legally
operate the snowmobile. If applying by mail, any photocopy's required must be included. Make
extra copies of this form for additional snowmobiles.

RESIDENT TMA
  • A Vermont resident whose snowmobile is registered in Vermont. Attach a photocopy of your registration.
  • A non-resident who owns property in Vermont and whose snowmobile is also registered in Vermont. Attach a photocopy of your Vermont registration and your Vermont town tax bill.
NON-RESIDENT TMA
  • All non-residents that do not own property in Vermont.
  • Vermont residents whose snowmobiles are not registered in Vermont.
  • Non-resident Vermont property owner whose snowmobile is not registered in Vermont.
NOTE: A copy of your current snowmobile registration must accompany all
applications
Please make checks payable to:
Billtown Moonshiners
Mail to:
Mindy Gabree
PO Box 119
Williamstown, VT  05679



Club Membership only (additional operators or skiers) $11.00
Club Membership and Resident TMA $78.00/sled
Club Membership and Non-Resident TMA $108.00/sled
Groomer Donation Any Amount

TOTAL $
 
SNOWMOBILE TMA INFORMATION:(Fields in BOLD are required)
Year     Manufacturer     Model    
Serial #     Registration #     State    
REGISTERED OWNER
MAILING ADDRESS
CLUB MEMBERSHIP INFORMATION:
NAME (if different than owner)
MAILING ADDRESS
E-MAIL
TELEPHONE

The following Liability Statement must be signed, dated and returned with your application to obtain a Vermont TMA
LIMITED LIABILITY STATEMENT
As a member of a snowmobile club I, the undersigned, owner of the snowmobile described abouve, declare that I am liable for the used of a train in conformance with the snowmobile laws and rules of the State of Vermont. Without limiting the generality of the foregoing, I declare that I am well aware of the risks related to the maintenance and signing of a trail. I consequently declare that I deny my own recourse to any damage, be it of any kind, that could happen to me in the use of a trail
I also pledge that I will inform any person to whom I would lend or rent the snowmobile that I own, of the risks above mentioned and will advise them that the association, the club or the owner of the trail do not assume any responsibility for the damages they could undergo while using a trail.
Please Initial Here:  Date:
PLEASE PRINT THEN MAIL FORM
Send mail to webmaster@billtownmoonshiners.com with questions or comments about this web site.
Copyright © 2004 Billtown Moonshiners All rights reserved.
This site designed and maintained by Corey Day