Virginia Vale Community Association

Membership Form

Oct 19, 2005

PLEASE TEAR OFF AND RETURN WITH DUES -- DUES ARE $15.00 OR $10.00 FOR SENIORS

Name:____________________________________
PhoneNumber: ______________________
Address: __________________________Zip: _____ E mail address: _______________________
Please bring your dues to the meeting or mail to:Virginia Vale Community Association
P.O. Box 22707
Denver, CO 80222-0707

Amount Enclosed __________________

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