Grand Valley Aquarium Club

Membership Application

Names of all Family Members Joining:

Address:

E-mail:

Phone:

Check Type of Membership:

Family (2 or more at same address)         $18.00 per year ______________

Individual (18 and older)                            $12.00 per year ______________

Student (under 18 or w/college ID)          $ 6.00 per year ______________

**Memberships are due each year in January beginning 2005**

Mailing Address
Grand Valley Aquarium Club
PO BOX 325
Grandville, MI 49468-0325