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2010 Mid-Valley Claims Association

Membership Application

Please Print this page,
complete the form and submit with your membership dues
by mail or by bringing it to the next meeting with you

Name: _____________________________________________

Company: _________________________________________

Mailing Address: ____________________________________

City, State, Zip: _____________________________________

Phone: ___________________ Fax: ____________________

Email: _____________________________________________

Address where you'd like to receive newsletter (if different):

___________________________________________________

YOUR MEMBERSHIP INCLUDES:
- Priority eligibility to purchase Golf Tournament tickets
- Discount Luncheon Price (with reservations)
- Invaluable continuing industry education, information, and networking
- A free monthly issue of the Mid-Valley Claims Association News Network newsletter

Annual Membership Dues
Just $15 per person
Renewed by Calendar Year

Please make your check payable to MVCA and mail to:
Mid-Valley Claims Association
P.O. Box 7725
Stockton, CA 95267


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