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Membership
Each new person
listed on the application will receive a membership patch, but only one issue of
the monthly newsletter will be mailed to a household. For additional
newsletters, the person(s) to whom issues are to be sent must apply separately
as an individual member.
Individual
Membership: $12 (1 Person)
Family
Membership: $15 (2 or more)
Please make the
check payable to SMVA.
Please print the
page and mail to: SMVA Membership, c/o Sandy Johnson, SMVA,
For more
information contact, Sandy Johnson, email: sjohns1@maine.rr.com
SMVA Membership
Application
Individual ($12) ___ Family ($15) ___
New ___ Renewal ___ Mo/day (only)
Name: ___________________________________ Birthday ___________
Name: ___________________________________ Birthday ___________
Name: ___________________________________ Birthday ___________
Name: ___________________________________ Birthday ___________
Mailing Address: _______________________________________________
_______________________________________________
City:
E-Mail Address: ___________________________________
Phone Number:
___________________________________
Amount Enclosed:
_________
Signature: ___________________________________
If new, who referred you? ________________________________________
Are you willing to volunteer to work a walk? Yes _____ No ______
