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Missouri Valley Wrench Club Membership Form


$20.00 in the U.S. / $25.00 Outside the U.S.**

DUE JANUARY 1, Annually

WE WOULD LIKE TO SEE YOUR NAME IN THE DIRECTORY!!

 

DUES ARE $20.00 FOR A CALENDAR YEAR.  DUES MUST BE RECEIVED BY FEBRUARY 1 FOR YOUR NAME TO APPEAR IN THE CURRENT MEMBERSHIP DIRECTORY.

 

   Directories and newsletter sets mailed separately from the March mailing must be mailed First Class, at increased cost to the club.

 

PLEASE HELP BY PAYING PROMPTLY

 

   Your ZIP + 4 full ZIP CODE will help insure your newsletters reach you quickly.  Please keep the Secretary/Treasurer and Newsletter Editor apprised of changes to your address.  The Club pays the U.S. Postal Service 50 cents for each address correction supplied by your local post office.  If your address changes you may not receive all your newsletters since they are mailed Bulk Rate rather than First Class.

         NAME:  _________________                                           SPOUSE:  ____________________

          ADDRESS:  ______________

         CITY:  ___________________      STATE/PROV:  ____      COUNTRY:  _____________

         *PHONE (INCLUDING AREA CODE:  ____________      POSTAL CODE:  _______________

         *CELL (INCLUDING AREA CODE):    _____________

         *E-MAIL:  ________________________

         *FAX (INCLUDING AREA CODE): _____________________           

         WEB SITE: _____________________

      *WE UNDERSTAND THE DESIRE TO PROTECT PRIVACY IF YOU CHOSE NOT TO SHARE THIS INFORMATION.. WE ALSO ASK MEMBERS NOT TO ABUSE THIS DIRECTORY INFORMATION OR SHARE IT IN A WAY THAT MIGHT BE TO ANOTHER MEMBER'S DETRIMENT.


      **International member dues are $25.00 (in U.S. funds) per year to defray extra mailing costs outside the U.S. ALL CHECKS MUST BE DRAWN ON A U.S. BANK .AS NON- U.S. BANKS CAUSE A $10 FEE PER TRANSACTION. INTERNATIONAL MEMBERS MAY ALSO CHOOSE TO PAY VIA PAYPAL, OR WESTERN UNION MONEY ORDER. Please contact the Secretary / Treasurer to work out the details.


 

  

RETURN  TO:           Clyde Ketelsen, Sec'y - Treas.

10909 Ideal AVE North

                             Grant MN  55155-1399