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Membership Application

$25.00 Membership Includes:

one year membership to CNY DIRT,
one year membership to IMBA
and a subscription to IMBA Trail News.

Help protect our trails by joining CNY DIRT today!

To Join CNY DIRT, please print this form and mail it along with a $25 check (payable to DIRT) to:

CNY DIRT
717 South Bay Road
North Syracuse, NY 13212

Name __________________________________________________

Street _________________________________ Apt.__________

City ________________________ State ______ Zip ________

Phone________________ Work Phone _____________ Age ____

E-mail Address ________________________________________

__________________________________________________________________

Do you belong to any other outdoor recreation groups?

ADK ____ Sierra Club ____ Nature Conservancy ____

OCC ____ Boy Scouts ____ Other ________________________

Where and how often do you ride? ______________________

__________________________________________________________________

Which activities would you be willing to volunteer for?

Educational _____ Social _____ Political _____ Newsletter ____

Ride Leader ____ Trail Maintenance _____ Patrol _____