Please Print Clearly
Your Name: ______________________________________________
Mailing Address:___________________________________________
City: ____________________ State: _____ Zip Code: ___________
Phone Number (Including Area Code): __________________________
Email Address: ____________________________________________
Please briefly describe what you would like to see VFR-RACE accomplish
and what you may be able to do to help:
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Submit Application along with $15 Annual Membership Dues to:
(Please make checks payable to VFR-RACE)
VFR-RACE
Attention: Membership
PO BOX 1387
Suffolk, VA 23439-1387