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Join Us

 

2017 Membership Form 

 

Type of Membership

 

New Member__________                    Renewal: _________

 

_____$14 individual   _____$25 Couples/Family  ____$30 Band

 

Name:_________________________________________________

 

Address: _______________________________________________

 

_______________________________________________________

 

Phone #: _______________________________________________

 

E-mail: _________________________________________________

 

Any Bluegrass instrument(s) played: ___________________________________________________________

 

Any Gospel Band affiliation: __________________________________________________________________
 

Make checks out to VBGMA and mail along with the form to:

VBGMA

PO Box 323

Viroqua, WI 54665

 


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