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BISC Membership Application Name _______________________________________________________________ Address _____________________________________________________________ City ____________________________State ____________________Zip _____________ Home Phone No. ________________________Day Phone No. ______________________ E-Mail Address ____________________________________________ VHF Radio Handle ___________________________________________ Dues are $10.00/year. Please complete and return with your check made payable to BISC to: BISCC/O Norm Cowder 321 Bonanza Trail Clarksville, VA 23927 |
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Buggs Island Striper Club (BISC)
321 Bonanza Trail Clarksville, VA 23927 Email: striperclub@kerrlake.com (434) 252-5615 |