Far West Nordic On Line Membership Form

Welcome to our Far West Nordic On-Line Membership Form!
For more information on membership levels see our Membership page.

Please fill out all the information below and click the "Submit Membership Info" button. On-line payment will allow you immediate access to our members only pages including articles and archived race results. You will be taken to our Far West Nordic Store where you may pay using our Secure Payment Pages. Your receipt will contain a link to a page where you can create your user name and password. If you prefer to pay by check please mail your check to FWNSEA, PO Box 10046, Truckee, CA, 96162. After we receive your check you will receive an email with instructions on how to create your username and password.

Make A Donation! Use our Shopping Cart to Add a Donation amount to your total.

Far West Membership runs from October 1st through September 30th.

 

Membership Rates

Membership Level	Individual	Family
Supporting	$100	$150
Racing	$55	$85
Basic	$30	$45
Junior	$10	--

 

 

 

 

 

Primary or Individual Member

First Name	Last Name	Birth Date (mm/dd/yyyy) / /	Email Address Invalid format.
individual family Please make a selection.	Membership Type Supporting Racing Basic Junior Please make a selection.	Mailing Address City State and Zip Phone	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY - -

Additional Family Members (for family memberships only)

First Name	Last Name	Birth Date (mm/dd/yyyy) / /	Email Address Invalid format.
First Name	Last Name	Birth Date (mm/dd/yyyy) / /	Email Address Invalid format.
First Name	Last Name	Birth Date (mm/dd/yyyy) / /	Email Address Invalid format.
First Name	Last Name	Birth Date (mm/dd/yyyy) / /	Email Address Invalid format.
First Name	Last Name	Birth Date (mm/dd/yyyy) / /	Email Address Invalid format.

Payment Method online check Please make a selection.