(print this form and send by mail)

CVR POSSE MEMBERSHIP APPLICATION
 
 

Single - $20.00 first year, $10.00 renewals
Family/Household - $25.00 first year, $10.00 renewals




NAME___________________________________ALIAS______________________

ADDRESS_____________________________________PHONE________________

CITY__________________________________STATE________ZIP_________

EMAIL____________________________NCOWS #__________NRA#__________

YOUR PRIMARY POSSE: CVR OR OTHER? 
Name of other! _________________________________

SIGNATURE____________________________________DATE___________
 


Make checks payable to Cedar Valley Regulators (CVR)
Mail to:  Joyce Warren  1439 E. Mitchell Ave.  Waterloo, IA 50702-3443