Mid-South VW Club
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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 (under 25, 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 do/will 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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NEWSLETTERS:
The default method of newsletter delivery is an emailed
,
color & linked pdf (Adobe Reader) file, usually about 1.5MB in size. This helps keep membership costs down; it can be stored on your PC; it is recieved instantly and contains operational links.
However, if you are on a dial-up connection, it may be too slow downloading the file. In this case, you may desire to receive your newsletter via USPS (black and white copy).
You have the option of changing your choice at any time in the future.
Which type of newsletter do you desire?
EMAIL me the color & linked pdf version.
SNAIL MAIL: I will need to have the black & white harcopy mailed to me.
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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
Another
family member
(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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