Always Together  .
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AVVA
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Membership Application
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Main
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Name:
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Phone  #:
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Home:
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Membership
Types
Select One
One Year @ $20.00 Annual
Life member applicants only, select age group right, payment determined by age Three Years @ $50.00
Life Member 
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Payment Method: 

Card #
Exp:/
Name on card (if different):
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VisaMasterCardCredit card numbers and all other information are protected by a Secure Commerce Server and kept completely confidential. If address for card is different than given above, please enter it under "comments" below. 
Comments:  Please enter any other information or questions you may have, including the best times and number to reach you at during business hours and your mailing address if different from above:
By pressing the "Submit" button below, I am applying for membership in the AVVA.  I am also hereby authorizing The AVVA to charge my credit card, listed above, for payment of my membership dues.
To apply by credit card, simply fill out this form and click on the "submit" button

If paying by check or money order, be sure to print out this form, fill it out completely and enclose with your payment. 
Mail to:

AVVA Membership Affairs
PO Box 64299
Baltimore, MD
 21264-4299
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