Membership Application
Vaca Valley Volks
Member of AVA, "America's Walking Club"
 VVV logo

Date:

First Name:

Last Name:

Street Address:

City: ZIP

Email Address:

Home Phone: Cell Number:

Membership
  Individual  ($7)
   Family  ($14)

(see prorated dues schedule below)

Names and Ages of family members, if Family Membership






My (Our) interests are:

Walking     Biking    Swimming    Cross Country Skiing

I (We) might be interested in serving on the following committee or activity.

Historian    Membership    Awards    Web Site    Publicity

    Newsletter    Walk Planning     Nominating     Annual Dinner

   Other

*Our dues period is from January 1 through December 31 of each year. Dues are prorated on a quarterly basis for new members.

If you join from Single Family
January 1 thru March 31 $7.00 $14.00
April 1 thru June 30 $5.25 $10.50
July 1 thru September 30 $3.50 $7.00
October 1 thru December 31 $1.75 $3.50