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Circle One---> Renewal + member number / Change of address / New member
State _______________________________ Zip ________________________
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Dues are for a calendar year: 1 year $10.00, 5 years $40.00, and lifetime is $200.00 (individual members ONLY). A new member joining in Oct or Nov or Dec will have the dues paid applied to the following year.
I want to make a donation to the Leon Dean Permanent Fund in the amount of $___________.
Make check payable to VOCA and mail to:
31 Matthew Avenue
Burlington, VT 05408