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

VAST TMA and Club Membership Application

VAST TMA and Club Membership
Application