AVS Membership and Mailing list

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Membership Form: Arkansas Vintage Scooters

To join or renew your membership in the Arkansas
Vintage Scooters, please print and complete this form
and mail it (with $10.00 dues) to:

Arkansas Vintage Scooters,
6100 Glendale Terrace,
Fort Smith, AR 72916.

Please check all that apply:

New Member.......Renewal........

Member #________________(If a renewal)

Address Change.......Phone Change........

Name_______________________________________

Address_____________________________________

City__________________________

State____________Zip__________

Spouse's Name_____________________

Phone #_______________________

E-Mail Address________________________________

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