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RVA ANNUAL DUES STATEMENT

$15.00 PER YEAR

 

NAME_________________________________________________________________

 

ADDRESS______________________________________________________________

 

CITY______________________________________STATE____________

ZIP_______

 

PHONE_____________________________________EMAIL_____________________

 

YEAR -  2008______  ,2009_______,2010________

(Please check appropriate year)    

CHECK #_____________

 

Mail to:

 

Myron Crangle

3700 Westport Ave. PMB 2447

Sioux Falls, SD 57106

 


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