Application for AVKO Membership

Copy and paste into an e-mail to info@avko.org

or mail to:
AVKO Educational Research Foundation,
 3084 Willard Road
 Birch Run, MI 48415-9404
 

Membership Type (check one): ____ Individual ($25.00)  ____ Institutional ($100.00)

Name  ______________________________________

Address ______________________________________

                ______________________________________

City  _________________________  State _______   Zip _______

Phone _________________________  

*e-mail Address ______________________________________

Donation: I would like to make a tax-deductible donation to AVKO for:

____ $15.00

____ $25.00

____ $50.00

____ Other Amount $ __________

____ I do not wish to make a donation at this time.

*E-mail address required for membership

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