Office Use Only

Permit #                      

Invoice #                     

 
N.B.F.S.C. Trail Permit Application Form

2007-2008 Season

 

PLEASE CHECK BOX                                                                                       TAX           TOTAL

 

Seasonal on or before Dec. 15

$130.00

$18.20

$148.20

 

Seasonal after Dec. 15

$180.00

$25.20

$205.20

 

Family 1st or 2nd on or before Dec. 15

$130.00

$18.20

$148.20

 

Family 1st or 2nd  after Dec. 15

$180.00

$25.20

$205.20

 

Family 3rd or subsequent – All season

$65.00

$9.10

$74.10

 

Antique – 20 yrs – 1988 + – All season

$30.00

$4.20

$34.20

 

Classic – 10-20 yrs – 1989-1998– All season

$65.00

$9.10

$74.10

***Application form must be accompanied by a copy of

CURRENT REGISTRATION for all permit types except seasonal***

 

Shipping Charges will be added as follows:

Within Canada -$9.00                          USA    - $16.00

 

To obtain your permits, please fill out the following information and send the form back to the N.B.F.S.C. along with your money order in CANADIAN FUNDS or fill in the credit card information below.

 

Name:                                                                                                                         

 

Address:                                                                                                                      

                                (Street)

                               

                  ______________________________        _________                           _________________

                            (City)                                                                 (Prov./State)                  (Postal/Zip Code)

 

Phone #:                                                                       Club #                (see map)

 

From time to time we do disclose personal information to others who wish to send out promotional information. Please check the appropriate box below with respect to the receipt of promotional information from third parties.

        __ I do wish to receive information.                       __ I do not wish to receive information.

 

VISA / Mastercard # __________________________           Expiry Date :  ______

 

Waiver of Risks

PLEASE READ CAREFULLY.

PLEASE INITIAL INDIVIDUAL CONDITIONS.

 

1.      BY SIGNING THIS DOCUMENT YOU GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.  *Init :                     

2.      Assumption of Risks and Waiver of Claims:  I hereby assume all responsibility for any injury, death, loss or damage which I or any passenger on my snowmobile or alternative driver of my snowmobile may suffer.  I agree to waive any and all claims that I have or may have against the New Brunswick Federation of Snowmobile Clubs Inc., Member Clubs, Land Owners and their officers, directors, employees, volunteers, representatives or agents and I hereby release, waive and forever discharge them from any and all claims, demands, damages, actions or causes of actions from whatever cause.  *Init :                 

3.      I acknowledge having read and understood the above and agree to each term and agree to inform all other users or passengers of my snowmobile of these conditions of sale.   *Init :              

 

Member’s Signature : ______________________________________________________

 

Please complete the following information:

[ ] Please use the registered owner's address on the Application for Trail Permit for the mailing of a subscription Atlantic Snowmobiler Magazine.  Name (if different)______________________________________________

Address (if different) _______________________________________________________________________

[ ] Please do not send Atlantic Snowmobiler Magazine.  The applicant agrees to the above.

Signature _______________________________________________  Date : ___________________________

 

Mail To:           The New Brunswick Federation of Snowmobile Clubs Inc.

147 Houlton Rd., Unit B

Woodstock, N.B.

E7M 1Y4

Or Fax :           506-325-2627

 

If you have any questions please feel free to call us at 506-325-2625.

Thank you for your interest in snowmobiling in New Brunswick, I trust you will enjoy your stay with us.