Pacific Northwest Ski Association

                                  a division of  

2671 Flowery Trail Rd   -   Usk, WA   -   99180-9740

phone: 509-445-4454    Fax: 509-445-4455    pnsa@pnsa.org

 

PNSA Club Membership Form

  1. Please complete the following form completely and accurately (please be sure to include street, city, state, and zip with all addresses).  This information will be used for both the online directory of active PNSA clubs, and published in the PNSA Competition Guide.

  2. You will also need to mail your annual club dues of $125 (the club dues includes one club representative's registration to attend the annual PNSA convention in May):

       

        PNSA

        2671 Flowery Trail Rd

        Usk, WA  99180-9740

     

  3. To make changes, you can resubmit the following form, and then e-mail us at pnsa@pnsa.org to let us know that you have submitted changes.

  4. Club memberships are due no later than December 31st for your club to be eligible to send a team to the Buddy Werner Championships.

Club Name:

 PLEASE USE LAST YEAR'S INFORMATION............   (Click ONLY if no changes need to be made)

 DATE: 

Mailing Address

Street:
City:

State:

Zip Code:

Physical Address

Street:

City:

State:

Zip:

Phone:

Fax:

E-mail:

Web address:

Program Director

Name:

Phone

E-mail:

President

Name:

Phone:

E-mail:

Alpine Head Coach:

Name:

Phone:

E-mail:

Youth Head Coach:

Name:

Phone:

E-mail:

Nordic Head Coach:

Name:

Phone:

E-mail:

Nordic Youth Coach:

Name:

Phone:

E-mail:

Snowboard Head coach:

Name:

Phone:

E-mail:

Freestyle Head coach:

Name:

Phone:

E-mail:

Race Chairman:

Name:

Address:

Phone:

Fax:

E-mail:

Who should receive PNSA mailings?

(only one contact will receive mailings)

 

Club

President

Program Director

Other