WVGS MEMBERSHIP APPLICATION
for the 2024 Calendar Year
Is this a new membership, or are you renewing an existing membership?
What kind of membership would you like?
Individual ($30/Yr)
Family ($40/Yr)
Beaver Briefs Only
Life (under 70 $250)
Life (over 70 $200)
New Membership
Renewal
Please provide the following information. If you are renewing an existing membership, you need only provide your name and any contact information that has changed.
Name:
Address:
City:
State:
Zip Code:
Phone Number:
Email Address:
May WVGS include the following in our Members Only membership roster? (please check each box if OK). Your ADDRESS     Your EMAIL
How would you like to receive your copy of the WVGS Beaver Briefs? PDF color  copies are eMailed to members for free. B&W hard copies are mailed to members for $10/yr, and to non-members for $20/yr.
eMail Member ($0)
Mail Member ($10)
Mail Non-Member ($20)
The Totals for this New Membership application are: