| 1. | Print this page. (If you don't have access to a printer, come to a meeting. We'll have forms there.) |
| 2. | Fill in the form below |
| 3. | Make check payable to: BVCWRT
$25 - Individual;
$40 - Family;
$15 - Full time student (up to age 23)
|
| 4. | Either bring the completed form and your payment to a meeting
or mail them to: Dave Walter, Treasurer
937 Thorne Dr West Chester, PA 19382 |
| Application Type: New | Renewal |
| Last Name |
| First Name |
| Address |
| City |
| State | Zip Code |
| Telephone Number |
| E-mail Address | |
| Note: Monthly newsletters are distributed by E-mail only. | |
| Membership Type: Individual ($25) | Family ($40) | Student ($15) |
| If family membership, please list other names: |