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

 

2009-2010 Snowboard 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 $85 (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.

Club Name:

OUR CLUB HAS NO CHANGES TO UPDATE - PLEASE USE LAST YEAR'S INFORMATION............
                           (Click ONLY if no changes need to be made!!!)                  

Mailing Address (street):
(city, state, zip):

Physical Address:

Phone:

Fax:

E-mail:

Web address:

Program Director

Name:

Address:

Res Phone:

Bus Phone:

Fax:

E-mail:

President

Name:

Address:

Res Phone:

Bus Phone:

Fax:

E-mail:

Alpine Head Coach:

Name:

Address:

Res Phone:

Bus Phone:

Fax:

E-mail:

Youth Head Coach:

Name:

Address:

Res Phone:

Bus Phone:

Fax:

E-mail:

Nordic Head Coach:

Name:

Address:

Res Phone:

Bus Phone:

Fax:

E-mail:

Nordic Youth Coach:

Name:

Address:

Res Phone:

Bus Phone:

Fax:

E-mail:

Snowboard Head coach:

Name:

Address:

Res Phone:

Bus Phone:

Fax:

E-mail:

Freestyle Head coach:

Name:

Address:

Res Phone:

Bus Phone:

Fax:

E-mail:

Race Chairman:

Name:

Address:

Res Phone:

Bus Phone:

Fax:

E-mail:

Who should receive PNSA mailings?

(only one contact will receive mailings)

 

Club

President

Program Director

Other