Membership Application
Date ___________________________
E-mail address _____________________________________________________________
Phone ____________________________
Address___________________________________________________________________
County_______________________________
Sponsor (if any)____________________________________________________________
BELOW: CHECK 1 BOX IN EACH SECTION (type of membership and duration)
| New | ||
| Decal and Membership card received | ||
| Renewal | ||
| 1 year membership | $20 | |
| 3 year membership | $54 | |
All memberships now include family members | ||
| 1 yr. club affiliation | $20 | |
| Sustaining Dealer | $20 | |
| Lifetime membership | $500 | |
JOIN TODAY! | ||
Make Checks Payable to: WVBA
Send To: WVBA - P.O. Box 7366 - Cross Lanes, WV 25326



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