POTOMAC VALLEY SWIMMING FAMILY MEMBERSHIP

INDICATE MEMBERSHIP OPTION

(by checking in appropriate boxes to the left)

 
 
 		 $10.00 MEMBERSHIP ENTITLES YOU
TO THE FOLLOWING
BENEFITS:
* PVS MEET ANNOUNCEMENTS
* PVS PROGRAM ANNOUNCEMENTS
* PVS MEET PROGRAM DISCOUNT
 
 
 		 $40.00 MEMBERSHIP INCLUDES ALL OF THE ABOVE
PLUS PVS MEET RESULTS
 
 
 		 CHECK HERE FOR NEW MEMBERSHIP  
 
 		 CHECK HERE FOR RENEWAL
CARD NAMES: 1.. 
 
  		2.(OPTIONAL) 
 
 

SEND MAIL TO:
NAME: 
 
ADDRESS: 
 
CITY:   STATE: ZIP: 
PHONE:   CLUB: 
PAYMENT ENCLOSED: $ 

MAKE CHECK PAYABLE TO POTOMAC VALLEY SWIMMING

MAIL TO:     PVS ADMINISTRATION
  P.O. BOX 313
  WASHINGTON GROVE, MD 20880-0313

MEMBERSHIP IS VALID THROUGH 31 AUGUST 1999

SCHEDULED MAILING DATES FOR    1998: 31 OCT 31 DEC
  1999: 28 FEB 30 APR 30 JUN 31 AUG