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Registration Form













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Printable Version
_______________________________________________
ETVW Club Membership form:

Name: __________________________________________

Spouse or other name: ____________________________

Address: ________________________________________

City: __________________State: ______Zip: __________

Phone Number: ___________________________________

E-mail: __________________________________________

Own a VW? _________If yes, What kind? _____________

________________________________________________

Other info:
Birthday: ______________________________________
 
Spouse Birthday: _____________________________
 
How would you like to receive our monthly newsletter?
Updates through e-mail or through the US Mail?
 
__________________________________________________
 
Comments? ______________________________________






























Mail this form to:
ETVW Club
2321 Ridgewood Dr.
Longview, TX 75605
 
or bring it to the next meeting.