I.A.V.   Post # 1 Renewal Slip 20010/2011

Please print                                      Check if change of address

Name:  _____________________ 2009/2010 Card # ______

Address: ______________________    Phone: __________

City, State, Zip ___________________________________

E-mail address Please ______________________________

Circle status box that applies to you:

Regular or Regular Associate $20 Associates $ 20 Associate Aux $20  Friend of IAV $20

Regular Retiree*    Associate Retiree*  Friend of IAV Retiree* Son $20    

  *Granted Retiree Status by Board of Directors before 2000, no fee.

*Granted Retire Status by Board of Directors after 2000, $5.00 yearly administrative fee.