Dues – Manual Payment

If you want to choose an alternative method to pay, you can use this process to join or pay renewal dues. Cut and paste the form information below to our Treasurer Craig Nicol using the email address listed below.

Please do not make any payment to the VOA, until after you have sent the fully, filled-out E-mailed form to us.

If you have questions, please E-mail us at nicolcs1@gmail.com

Thank you.

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Vixen Owners Association Membership Form

Please email this information to:
nicolcs1@gmail.com

Is this a new membership? _______
Or a renewal? ________

Please indicate one:
Vixen model – TD _____ SE _____ XC _____
Last four of the VIN number _____________
Example:  TD #0123, SE#0432, etc.

CONDITION OF YOUR VIXEN ________________________ example: Road Worthy, Needs Work, Future Barn Find

Please indicate one:
If you own more than one Vixen, please list all below

Vixen model – TD _____ SE _____ XC _____

Last four of the VIN number _____________
CONDITION OF YOUR VIXEN ________________________

Vixen model – TD _____ SE _____ XC _____

Last four of the VIN number _____________
CONDITION OF YOUR VIXEN ________________________

Vixen model – TD _____ SE _____ XC _____

Last four of the VIN number _____________
CONDITION OF YOUR VIXEN ________________________

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Pilot’s Name _________________________________________

Co-Pilot/Spouse _____________________________________

Email Addresses
The Pilot’s E-Mail will be the user name for sign in. If you are renewing your membership, please use the E-Mail address you used before. If you no longer have access to that E-Mail address, use your current one and we will cross-reference your membership manually. (More work for us.) :-)

  Pilot E-Mail_______________________________________________

  Co-Pilot E-Mail___________________________________________

Street Address ___________________________________________

City ______________________________________________________

State/Prov ________________________________________________

Country ___________________________________________________

Zip/Postal Code ___________________________________________

Home Phone ______________________________________________

Business Phone ___________________________________________

Mobile Phone _____________________________________________

Skype _____________________________________________________

Member Since _____________________________________________

Please Circle One: Payment Method: PayPal ______ or Check _____?

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If you prefer to mail a check, let us know and we will EMail payment instructions to you.

Thank you for your interest in the VOA.