RVA ANNUAL DUES STATEMENT

$15.00 PER YEAR

NAME_________________________________________________________________

ADDRESS______________________________________________________________

CITY______________________________________STATE____________

ZIP_______

PHONE_____________________________________EMAIL_____________________

YEAR  2007______        and/or    2008________       

CHECK #_____________

Mail to:

Myron Crangle

3700 Westport Ave. PMB 2447

Sioux Falls, SD 57106