TO PROVIDE A FUN EVENING AND DELICIOUS FOOD FOR MEMBERS, THE BOARD DECIDED TO MARGINALLY RAISE THE DUES.TO BECOME A MEMBER PRINT THIS FORM, OR WRITE OUT THE REQUESTED INFORMATION ON A PLAIN SHEET OF PAPER. BE SURE TO INCLUDE YOUR CHECK MADE OUT TO GVR MICHIGAN CLUB. THIS YEAR THE ANNUAL DUES ARE $15.00 PER PERSON OR $20.00 PER FAMILY.
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PLEASE ACCEPT MY CHECK FOR THE FOLLOWING:

Name_______________________________________ GVR Number____________

Name_______________________________________ GVR Number____________

Where are you originally from in Michigan? ________________________

G.V. Address____________________________________________ ZIP___________

Phone Number: Line #1________________________________________________

Phone Number: Line #2________________________________________________

Email Address ___________________________________@_____________________

Email Address ___________________________________@_____________________

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MAIL IT TO: MICHIGAN CLUB, BOX 232, Green Valley, AZ  85614 

E-Mail us at:  miclubcontact@gmail.com