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ALAMEDA
NORTH VALLEY ASSOCIATION MEMBERSHIP
INFORMATION DATE:
___________________________________________________________________________ NAME:
___________________________________________________________________________ ADDRESS:
________________________________________________________________________ CITY,
STATE, ZIP:
_________________________________________________________________ PHONE: ______________
Email address: ______________________________________________ NEW
MEMBERSHIP? _______
RENEWAL? _______ SIGNATURE:
_________________________________________________________________________ INTERESTS:
___________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Please
remit $15 annual membership dues to: Debi
Hale, ANVA Treasurer |