____ New Family Membership $15, Number in family ____
____ Renewal, Individual or Family $10
____ Renewal, 2 years $20
Membership year is July 1 to June 30
Name:______________________________________________________________
Address:______________________________________________________________
City:______________________ State:___________ Zip:________ Phone: (____)____-_______
Please mail to: EOATVA
P.O. Box 571
La Grande, OR 97850
Questions? 541 805-0172 (leave message)