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We are seeking VW enthusiasts, interested in becoming ACTIVE, local members. Our club is not a "virtual" one. Therefore, membership applications are limited to those who reside in western TN, eastern AR, or northern MS. Please indicate the general location of your residence below:
West TN
East AR
North MS
Other (Referral by MSVW club member required)
If "Other," please enter first & last name of Mid-South VW Member who is providing referral:
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New Membership or Reactivation of expired membership is $10 for first year
or $5 for full time students*.
On-Time renewals
will be discounted to $8 (or full-time student rate of just $5 per year*), which includes a subscription to our club newlsetter.
MEMBERSHIP DOES NOT BEGIN until fee is received.
Thanks! Your Email Address.
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Confirm Email
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Title:
Mr.
Ms.
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Your First & Last Name
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*STUDENT RATE: The student rate of $5 per year applies as long as you are in school or college ( full-time, haven't had that first, full-time job, probably still live at home, & can barely afford these dues).
Do you feel you qualify for the full-time student discounted membership rate of just $5 per year?
Yes
No
If so, what school/college/university to you attend full-time & what is the year you expect to graduate?
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Home Phone #
Work # (Optional)
Cell # (Optional)
Your Birthday (mo. & day only)
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Street Address
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City
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State
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Zip
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Are you currently a member of the Vintage Volkswagen Club of America? (Membership in VVWCA not a requirement)
Yes
No
If No, are you interested in receiving more information on VVWCA membership
Yes
No
If you own a VW, please provide info: (Color,Year & Model)
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Where did you hear about our club?
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We will contact you later, regarding your membership fee. I understand that membership does not begin until membership fee is received. Agree?:
Yes
No: I do NOT want to be a member
Family members in your living in your home can be included on your membership at no additional cost.
Below, please provide name, relationship, email ID (if available) & month-day of birthday (optional):
ADD COMMENTS HERE:
Membership Application
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Indicates Response Required
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