To join, please fill in the following information. Dues are $10 for individual or $15 for family.

Name__________________________  Phone_____________

Address________________________________________________

E-mail__________________   Date___________

Amount of Dues paid______ Method of Payment_________(check,cash,other)

Bring this information and your check (payable to NRVBC) to the monthly meeting or mail to:

NRVBC

c/o Jana Ruble

P.O. Box 361

Blacksburg, VA 24063