ELKHORN VALLEY ANTIQUE POWER ASSOCIATION
2023 MEMBERSHIP RENEWAL
ANNUAL DUES – $30.00 / LIFETIME DUES $300
PLEASE COMPLETE THIS FORM TO HELP US KEEP TRACK OF
RENEWALS AND ESSENTIAL INFORMATION.
Payment Amount: $ ________
PLEASE PRINT (or use an address label)SO WE CAN INCLUDE CORRECT INFORMATION IN THE 2022 MEMBERSHIP ROSTER.
NAME__________________________________ SPOUSE’S NAME______________________
ADDRESS____________________________ CITY________________ STATE___ ZIP________
HOME PHONE ________________________ CELL PHONE___________________________
EMAIL ADDRESS _____________________________________________________________
What makes and models of equipment do you have in your collection?________________________________________________
___________________________________________________________
Make checks payable to EVAPA. Send the form and check to Jeff Siebels, PO Box 356, Gretna, NE 68028. Questions: evapa.tractors@gmail.com or 402-690-5555.
Suggestions for meeting topics, speakers, tours, or events.
Just one suggestion from every member will give the Board information we need to improve events for all EVAPA members. Suggestions do not have to be related to antique tractors:
____________________________________________________________________________
Elkhorn Valley Antique Tractor Association 