VAST TMA and Club Membership Application
East Montpelier Gully Jumpers
P.O. Box 75
East Montpelier, VT 05651
www.gullyjumpers.com

------------PLEASE READ CAREFUL------------
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 (snowmobile registration) 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.
 
------------PLEASE PRINT/TYPE CLEARLY------------
Year   Manufacturer   Model
     
Reg. Number   State/Province   Country   Snowmobile Serial Number
        
 
First Name (Registered Owner)   Middle Initial   Last Name
     
First Name (Club Member)   Middle Initial   Last Name
     
PO Box or House Number and Full Street Address, etc.
City/Town   State   Zip Code   +4
        
Telephone   Email   Age
     

Vast Savings Plans
Pick The TMA that best serves your needs
  Resident Non-Resident
TMA Before
Dec.15
After
Dec. 15
Before
Dec.15
After
Dec. 15
Regular Snowmobile
New to 14 years old
$65 ea. $90 ea. $95 ea. $130 ea.
Family Rate**
First two snowmobiles
Any additional snowmobiles
$65 ea.
$33 ea.
$90 ea.
$45 ea.
$95 ea.
$48 ea.
$130 ea.
$65 ea.
5-Day Pass
No Liability Insurance included
$55 ea. $55 ea. $55 ea. $55 ea.
Antique Snowmobile
25 years and older
One time
Fee $100
(requires registration)
One time
Fee $100
(requires registration)
Classic Snowmobile
15 years and older
$50 ea. $70 ea. $50 ea. $70 ea.
**After the purchase of 2 Regularly Priced TMA's. All sleds NEED to be registered to the SAME OWNER.
See VAST site for details on classifications

  
PLEASE SELECT MEMBERSHIP TYPE
Vermont Resident
Non-Resident -- Vermont Property Owner
Non-Resident
Regular Snowmobile $
Family Rate $
5-Day Pass $
  Pass Dates From:
  (mm/dd/yyyy) To:
Antique Snowmobile $
Classic Snowmobile $
Club Membership - $12.00 $
County Dues - $3.00 $
Grooming Donation $
TMA Replacement - $5.00 $
  Replaces TMA Number:
 
Total $
 
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