11 May Court, Freeport, NY 11520 Email Address: info@livc.net  APPLICATION Name:  Address:  City:  State:   Zip Code:   Email:   Phone:    Fax:    List any Volkswagens owned 1.  2.  3.  4.  5.    How did you hear about the club?

Get Application in Adobe Acrobat pdf format LIVC Application
Fill in print out and mail this form along with a check for $20.00 payable to:
The Long Island Volkswagen Club.
Mail to: 11 May Court, Freeport, NY 11520
This will entitle you to one (1) year of the newsletter and one (1) window decal. 
Please include a photo for us to use in the new member column. 
Allow 30 days for your membership to arrive.  Thanks for joining the Long Island Volkswagen Club!
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