WVDGA One Year Membership Signup/Renewal 2006-2007

West Virginia Disc Golf Association

87 Fairmont Ave.

Fairmont, WV 26554

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*Name:
*Address:
Address 2:
*City/State/Zip:
Phone:
E-Mail Address:
*PDGA #:
*Today's Date:

Checks payable to the WVDGA.

Membership Fee Paid: Cash: __________ Check:__________

For Official Use

Application for Membership Approved:

Membership Renewal Date: