WVBA Membership Form

 

Date__________  Name ________________________________________________________


Birth Date ________________Phone_(_______)_________________________


E-mail  address__________________________________________________________________________

 

 

Address___________________________________________________________________

 

 

City____________________________________________ State________ Zip____________


County______________________________________________

 

 

Sponsor (if  any)________________________________________________________________

 

Send to:

WVBA

PO Box  175

Fayetteville, WV 25840

Check Applicable:

__ New(with free decal)
__ Renewal

__ 1 year regular membership- $15.00 annually
__ 3 year membership- $39.00 annually
__ Lifetime membership- $200.00
__ 1 year youth membership (14 and under)- $9.00 annually
__ 1 year family membership- $22.00 annually
__ 3 year family membership- $54.00 annually
__ 1 year club affiliation- $20.00 annually
__ 1 year sustaining dealer- $20.00 annually

 

 

 


WVBA Memorabilia

 

Send Merchandise orders to:
WVBA Merchandise Chairman
PO Box 175
Fayetteville,  WV  25840   
___WVBA Patch-Camo- $3.00
___ Decal- $2.00
___ License Plate- $5.00
___ Camo Cap (winter short bill)- $15.00
___ Camo Cap (summer long bill)- $15.00
___ Camo Cap(winter long bill)- $15.00
___ T-Shirt Camo Long Sleeve- $10.00 Choose Size  __ Small, __Med., __Lg., __ XX-Lg  (close out special - limited quantities and sizes)
___ Henley Shirt- $10.00 Choose Size __Med.,  __ XX-Lg___ (close out special - limited quantities and sizes)
___ Rendezvous T-Shirt- $15.00 Choose Size ___ Small, ___Med., ___Lg.,___ XLg.  ___ XX-Lg., ___ XXX-Lg
___ Denim Shirt w/WVBA Logo - $20.00 Choose Size __ Small, __Med., __Lg.,__XLg.  __ XX-Lg ___ (close out special - limited quantities and sizes)
___Sweatshirt  w/Hood- $30.00 Choose Size __ Small, __Med., __Lg.,__XLg.  __ XX-Lg.,  __ XXX-Lg
___Sweatshirt  Crew Neck- $25.00 Choose Size __ Small, __Med., __Lg.,__XLg.  __ XX-Lg.,  __ XXX-Lg
Shipping-one item $3.00 each additional item $0.75