Membership Form

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Membership Form

(Please Print)

Please print and complete this form, and mail it along with your check (made payable to
"Barnstormers") in the amount of $15 for your annual membership to:

Don Neff

5722 Heming Ave.

Springfield, VA 22151

Name(s):

(Please include names of both husband and wife and/or significant other)

Address:

(city)

(state)

(zip)

Phone Number:

Email address:

(This will only be used for pertinent Barnstormers email.)

Referred by: