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WVBA
Membership
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Date__________ Name _________________________
Birth Date ____________Phone_(___)________
E-mail address___________________________________
Address_________________________________________
City____________________________________________
County_________________ State______
Zip__________
Sponsor (if any)__________________________________
Send to:
WVBA
Check Applicable:
__ New(with free
decal)
__ Renewal
__ 1 year regular membership- $15.00 annually
__
3 year membership- $39.00 annually
__ Lifetime membership- $200.00
__ 1 year youth membership (14 and under)- $9.00 annually
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1 year family membership- $22.00 annually
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3 year family membership- $54.00 annually
__
1 year club affiliation- $20.00 annually
__
1 year sustaining dealer- $20.00 annually
WVBA
Memorabilia
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Send Merchandise
orders to: |