"Racers Helping Racers"

MEMBERSHIP APPLICATION

Membership Fee:               $15.00   Single

                                           $25.00   Family

                                           $35.00   Corporate

Mail Payment to:                V.L.R.A.

                                            P.O. Box 924

                                           Daytona Beach, FL  32115

NAME: ______________________________________________

ADDRESS: ___________________________________________

CITY: _______________________ STATE:______ ZIP: _______

PHONE NUMBER: ____________________________________

E-MAIL ADDRESS: ___________________________________

The V.L.R.A. monthly meetings are held on the 2^nd Thursday of every month at Steve’s Famous Diner, 1584 South Nova Road, Daytona Beach, FL.  The meetings begin at 6:30PM.