Las Vegas Electric Vehicle Association

Membership Application

The Las Vegas Electric Vehicle Association (LVEVA) is a chapter of the International Electric Automobile Association (EAA). One-year membership is available for both organizations. There are also separate one-year membership plans available for just the chapter level, senior citizens, and students. The Membership dues schedule is as follows:

EAA annual dues (includes LVEVA chapter annual dues) $39

LVEVA chapter only annual dues $20

Senior Citizens (65+) annual dues $15

Student (with Student I.D.card) FREE

To join the EAA, that also includes local LVEVA Chapter Membership, visit the Membership web page at: http://www.eaaev.org/eaamembership.html

These annual dues are tax-deductible and the EAA accepts payment of by Personal Check, PayPal, or Credit Card. For questions, email: Membership@eaaev.org

EAA Membership includes a subscription to the bi-monthly “Current EVents” newsletter.

To join just the local chapter of the Las Vegas Electric Vehicle Association (LVEVA) only, please print and fill out the requested information below. The local LVEVA annual dues are not tax-deductible. The LVEVA publishes its own local newsletter, “Watts Happening”, as funds and time permit. LVEVA Web site: http://www.lveva.org

Bring this form to one of the chapter meetings with cash or a check for annual dues made out to “William Kuehl”, who is the current LVEVA chapter Treasurer. Please note that the check is for “LVEVA Membership”. The payment and form can also be mailed to:

William Kuehl

4504 W. Alexander Road

North Las Vegas, NV 89032

Name:_________________________________________________________________

Business (if applicable)____________________________________________________

Address:________________________________________________________________

City:________________________ State:___________________ Zip:_____________

Home Phone:_________________ Work Phone:_______________________________

Would you like to be called about meetings or events? Yes______ No______________

Special Interest or Suggestion:________________________________________________________________ ____ __________________________________________________________________

Signature:________________________________________ Date:__________________