| *First Name (+Initial) |
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| *Last Name |
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| Birthdate |
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-
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| How did you first hear about us? Give name if it was a person. |
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| *MAILING ADDRESS: (so we can send your stuff!) |
| *Street address, #, Apt |
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| *City (town) |
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| State or Province |
*(required for US/Canada/Australia/Italy) |
| ZIP or Postal Code |
*(required for US/Canada/UK/EU) |
| *Country |
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| NOTE: Use USA for APOs, FPOs, and territories (Guam, Puerto Rico, Virgin Is.) |
| Show address on Web site |
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| CONTACT INFO: (so we can reach you!) |
| *Email |
Show on Web site
We will email your member number to you as soon as we assign it. |
| Daytime Phone |
Show on Web site |
| Evening Phone |
Show on Web site |
| Pager/Portable Phone |
Show on Web site |
| VMAX INFO: (for our records, you need not own one to join!) |
| Model Year (01=2001 etc) |
|
| VIN (Frame Serial Number) |
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| DIRECTORY INFO: (for your listing on our web site!) |
| Vmax color, description |
|
| Your web page URL |
|
I can provide for a fellow
broken-down member: | |
| Pickup, trailer or transport |
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| Tools |
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| Garage or work space |
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| Camping |
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| Guest Room, Sofa etc |
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| Continue To Payment Page |
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Vmax Owners Association