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ALAMEDA NORTH VALLEY ASSOCIATION

ALAMEDA, NEW MEXICO

9135 Guadalupe Tr NW 87114

 PHONE 505-897-3052

 MEMBERSHIP INFORMATION

DATE:

 NAME:

 ADDRESS:

 CITY:                                    STATE:                                                  ZIP:           

 EMAIL ADDRESS:

 PHONE:

 NEW MEMBERSHIP:                                            RENEWAL:

 DUES = $15.OO PER YEAR –   PAID:                                   DUE:

  

SIGNATURE:

 INTERESTS:

 

 

 

 

 MEMBERSHIP FORM RECEIVED BY ANVA BOARD MEMBER: _____________________________