join our club

Please complete the form below to join our club! Payments can be made in person at monthly meetings (2nd Tuesday of every month at the Blackhawk Athletic Club, 2023 Broadway Rockford, IL 61104), if mailed, send to, Jeff Buchanan, 6467 South Perryville Rd, Cherry Valley, IL 61016, or through Zelle. Please make checks payable to RVSA. If you prefer, you can print out a form and complete it. Membership Form

Name 1

First Name

Last Name

Name 2

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email 1

Phone 1

(###)

###

####

Email 2

Phone 2

(###)

###

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New/Delinquent Member

Individual ($25)

Renewal

Individual ($20)