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AVRA Membership Application Form

Membership Application Form

Fill out and give to an AVRA member at one of the events we participate in, or mail to:
Bill Driscoll,
AVRA Secretary,
P.O. Box 48,
Bath, NH 03740
Type of annual membership

NAME________________________________________________ AGE_____
( ) Regular $15

ADDRESS______________________________________________________
( ) Senior $10

CITY_________________________________ STATE_____ ZIP__________
( ) Youth (<17) $10

TELEPHONE (____) ______________________

Do you have a layout? Y N


E-MAIL ________________________________________________________
Type__________

SIGNATURE ___________________________________________________
Size _____________

 

DATE ______________________
Scale ____________