TRAIL PERMIT APPLICATION 2007/2008
Remember to Buy where you Ride.
Call (705) 759-0023 with any Questions.
Fill out and Mail this form to:
Sault Ste. Marie Trailblazers
68 Old Garden River Road
Sault Ste. Marie, ON
P6B 5A4
Or Fax it to (705) 759-9971
Or request your permit by Email: info@ssmtrailblazers.com
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| Name (Registered Owner) / Please
complete a separate form for each owner: |
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| Address - Street No. & Name
(P.O. Box)/As per vehicle registration: |
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| City, Town or Village: |
Postal Code: |
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| Home Telephone No.: |
Work Telephone No.: |
Email Address (optional): |
| Vehicle
Identification No. (V.I.N.) Vehicle One: |
Office Use Only-Permit Number: | |
| Vehicle Identification No. (V.I.N.) Vehicle Two: | Office Use Only-Permit Number: | |
| Vehicle Identification No. (V.I.N.) Vehicle Three: | Office Use Only-Permit Number: | |
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Date Sold: |
__ Seasonal on or before Dec. 1/07 __ Seasonal after Dec. 1/07 |
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| I understand that the trail permit(s) for which I am applying is valid only for the motorized snow vehicle identified in this application and is valid only where the sticker (permit) issued under this application is permanently affixed in the required position on that motorized snow vehicle. I certify that the information contained in this application is true and acknowledge and accept the responsibilities imposed by law. | ||
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Applicant's Signature: _______________________________________________________ |
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| Note: Name and address on this application
form must be the same as the name and address on the vehicle registration.
By signing where specified below, I would like to access OFSC Benefits and Offers. I authorize the name and address information as indicated to be used by the OFSC for purposes related to the mandate of the OFSC. By signing below, I further understand that the name and address information provided to the OFSC is out of the custody and control of the Ministry of Transportation and that the OFSC will have sole responsibility of the information. |
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| __ Please use the registered owner's address on the trail permit application above to receive mailings or for OFSC purposes (or) | ||
| __ Please use the following name and address for someone other than the registered owner to receive mailings or for OFSC purposes | ||
| Name (If different than registered owner listed above): | ||
| Address - Street No. & Name (If different than registered owner listed above): | ||
| City, Town or Village: | Postal Code: | |
| Home Telephone No.: |
Work Telephone No.: | Email Address: |
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Signature: ____________________________________________ Date: Year: _____ Month: ______ Day: _____ |
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| Permit Quantity: |
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| On or before Dec. 1, 2007 |
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| After Dec. 1, 2007 |
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| Total Remittance: | $ __________ In Canadian Funds | ||
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| Name on Card: | |||
| Card Number: | Expiry Date: Month: Year: |
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Credit Card Authorization Signature: _______________________________________________________ |
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TRAIL PERMIT INFORMATION |