Valley Crossing #6
Membership Application
Please send completed
application and check to the above address.
Application Date
______________ New _________ Renewal
__________
Type of Membership:
_____ $10.00 Individual _____ $15.00 Family (includes
family members under
18 living in same household.)
Name
(s):
(Please print neatly)
_____________________________________________________________
Email
Address:_________________________________________________
__________________________________________________
Mailing Address:
____________________________________________
Telephone:
_________________________________________________
Name (s):
____________________________________________________
____________________________________________________
Information Contacts:
Sandy Jamison, Secretary: 207-265-2397; cvoasecretary@tds.net
Peter Weston, Treasurer: 207-885-5995; pbweston@maine.rr.com