AVRT Logo in Braille

AVRT Membership Form

Below is our membership form. You can use it to join our organization or pay your yearly dues. We also provide you with a manual download of our form if you would like to download it now and fill it out at a later time or mail it into us. You will find all of the contact information concerning this form listed below:

Dues are $32.00 annually ($2.00 PayPal Service Fee) – January 1st to December 31st.

We use "PayPal" as our payment gateway. Once you fill out our membership form, then it will take you to PayPal so that you can pay your membership fee. If you choose to download this form and mail it in, the mailing address and contact information is listed below:

Send your check, payable to: AVRT

CONTACT PERSON:
Ms. Susan Dalton, AVRT Treasurer
P.O. Box 676
Marengo, IL  60152
E-Mail Address: 
dalton.transvision@gmail.com

Download the Membership Form Manually Here

* After completing the form below, you will be redirected to your PayPal account. If you do not have a PayPal account, you can simply pay with a credit card or create a PayPal account and continue your purchase. There is a $2.00 service fee already included to cover paying PayPal's fees. If you have any questions, please do not hesitate to Contact Us.