Application

Yearly Dues: $20.00

Membership #
MVPA #
Full Name
Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
E-mail
Vehicle Information
Make
Model
Year
Running?
Make
Model
Year
Running?
Make
Model
Year
Running?
Event Information
Which would you participate in?	Static Displays Trail Rides Parades
In which types of weather?	Overcast Rain Snow
How far would you travel?	RI MA CT ME NH VT
Do you display any other military items?

After you have submitted this form, we will need to collect your first yearly membership dues ($20.00). Please send a check made out to RIMVCC to the following address:

Paul Connolly 73 Sayles Hill Road North Smithfield, RI 02896