PRINT THIS FORM OR WRITE OUT THE REQUESTED INFORMATION ON A PLAIN SHEET OF PAPER
AND USPS MAIL TO:
GVR MICHIGAN CLUB MEMBERSHIP / RESERVATIONS, PO. Box 232, Green Valley, AZ 85614
PLEASE ACCEPT MY CHECK FOR THE FOLLOWING:
Name(s) ________________________|______________________________
Are you a member of GVR?: NUMBERS(s) _______________ |______________
Michigan Address _____________________City___________________State_________ZIP_____________
Green Valley Address_____________________City___________________State_________ZIP_____________
Phone Number: Land Line _________________ Mobile _____________________
Email Address ________________@___________________
Annual Dues $10 per Person ________
COMPLETE THE FOLLOWING IF YOU ALSO WISH TO MAKE EVENT RESERVATIONS
Dinner Reservations Per Person: (All reservations add $4 for non-members or guests)
December 4, 2024, $ 23.00 X #____________ = $____________
January 2, 2025, $ 15.00 X #____________ = $____________
February 6, 2025, $ 29.00 X #____________ = $____________
March 5, 2025, $ 29.00 X #____________ = $____________
April 2, 2025, $ 29.00 X #____________ = $____________
GRAND TOTAL (including dues and dinners) $_________________