Membership Application

Dues are $10.00 (US funds) annually (Jan through Dec)

Name

Address

City                                                                                                     State                                                Zip

Phone:                                                                                                                           Alternate Phone

Email:

Car Information






I do not wish to be listed in the NHA Directory

Mail completed form and $10.00 (check/money order US funds) to:

Marie Sherman
390 Quilchena Dr
Kelowna, B.C.
V1W 4W4
Canada

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