Pine Valley Improvement Club ​

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PVIC Membership

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Name____________________________________________________________Phone Number____________________________________

Mailing Address_____________________________                              E-mail_______________________________________________
City_____________________________State_________Zip______________​  _____

New member  _________   Renewing member  _________    Yearly  $25  ________
Please make check payable to PVIC and mail with this form to PVIC, PO Box 195, Pine Valley CA 91962
 

                                    All donations are tax deductible, thank you for your continued support!!