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MEMBERSHIP 

 

NAME____________________________

ADDRESS__________________________ 

City __________________ STATE_______    

ZIP___________   PHONE_____________

E-MAIL___________________________

                           

                                YEARLY  MEMBERSHIP IS $15           

                        MEMBERSHIP ARE DUE OCTOBER 1st

                                    COPY,  PRINT,  AND MAIL TO:

                           PLEASE SEND CHECKS PAYABLE TO :

                                                       

                                                        PNWVSC

                                           60245 CHEYENNE RD.  

                                               BEND, OR    97702

                                            jncent@bendcable.com