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MEMBERSHIP

SPECIAL NOTE: ALL CASH OR CHECK PAYMENTS FOR MEMBERSHIP SHOULD BE MADE IN PERSON AT THE JAVC OFFICE LOCATED AT THE RODEWAY INN, 1400 E. ANDY DEVINE, SUITE 206, IN KINGMAN.

Date

Membership Start Date

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Cell Phone

Verify Email

Membership Level

Annual

Lifetime

Membership Fee

$20 - Annual

$100 - Lifetime

Checkboxes

Please select payment method.

Paypal

Stripe (credit card)

Add 3% to my total amount to help cover the payment processing fees