Life
member applicants only,select
age group right, payment determined by age
Three
Years @ $50.00 Life
Member
..............
..............................
Payment
Method:
Card # Exp:/
Name on card
(if different):
.
Credit
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