Instructions for submitting application online:

1. Fill out the information on each person
2. Decide how you wish to make payment
3. Give us feedback (optional)
4. Press "Submit"
5. Get ready for fun!

1

First Name Last Name

Address

City State Zip Code

E-mail
I want to receive info by email

Renewing member New Member

Individual $115 before 11/30 $135 after 11/30 Jackson Resident Membership

Spouse $115 before 11/30 $135 after 11/30 Jackson Resident Membership

Dependant Children's Name (if including them for annual memberships)

Child
Year of Birth 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 Fee age 19 - 21 = $40 before 11/30age 19 - 21 = $50 after 11/30 age 13 - 18 = $30 age 10 - 12 = $20 age 1 - 9 = Free Jackson or Bartlett School Children -- Free

Child
Year of Birth 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 Fee age 19 - 21 = $40 before 11/30age 19 - 21 = $50 after 11/30 age 13 - 18 = $30 age 10 - 12 = $20 age 1 - 9 = Free Jackson or Bartlett School Children -- Free

Child
Year of Birth 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 Fee age 19 - 21 = $40 before 11/30age 19 - 21 = $50 after 11/30 age 13 - 18 = $30 age 10 - 12 = $20 age 1 - 9 = Free Jackson or Bartlett School Children -- Free

Child
Year of Birth 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 Fee age 19 - 21 = $50 age 13 - 18 = $30 age 10 - 12 = $20 age 1 - 9 = Free Jackson or Bartlett School Children -- Free

Child
Year of Birth 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 Fee age 19 - 21 = $40 before 11/30age 19 - 21 = $50 after 11/30 age 13 - 18 = $30 age 10 - 12 = $20 age 1 - 9 = Free Jackson or Bartlett School Children -- Free

I'll make an additional donation: Donation Use Choice General - Use it as you see fit Trails Rescue No thanks, just the memberships (use the next page for amount or use additional info box below)

2

I'll make an online payment call with credit card info mail a check today stop by with payment

Please remember that skiing has inherent risk. To read the NH state statute concerning those risks, click here

3

Enter any additional info or comments below

4

Then you just send the snow, stop by and pick up your season passes on your first visit.