ARIZONA VIKINGS FAN CLUB    
==============================www.avfc.4t.com=============================
(AVFC) Membership Registration Form
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\___/ RENEWAL         <--- ( CHECK ONE ) --->         \___/ NEW MEMBER
Name_________________________________________________________________ DOB_________

Additional Name's (For Certificate's)______________________________________________________

Street Address__________________________________________________________Apt #_________

City_____________________________________________State__________________Zip________

Home Phone(___)__________________________ Work Phone(___)____________________________

EMAIL Address__________________________________Occupation__________________________________
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How long have you been a Vikings fan?_____________________________________________________

Who are your favorite Viking players?_____________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Have you had any personal experiences with the Vikings players, coaches, or the organization that you would
like to mention?_______________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

                            \____/ Check if you would like to help AVFC officers with club activities.

What talents would you be willing to share with the AVFC to make it better?_________________________
____________________________________________________________________________________
____________________________________________________________________________________

Total Fan Club Registrations _____x ($15.00 Per Person)           Payment enclosed $_______(Check or Money Order)

===========================For Offical Use Only:===========================
M/N____       M/D____/____/____       M/Ca____      M/Ce____     P/S____/____/____
====================== Print, Complete and Mail this form to: =====================
Arizona Vikings Fan Club (AVFC)
870 E Linda Vista Blvd
Tucson, AZ. 85737
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