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Legacy Mamba Registration
Shannon Whitehead
2023-04-04T16:45:09+00:00
Legacy Mamba
$
195.00
Additional benefits includes: • Printed and virtual copy of our beautiful fully colored collectible VIPER Magazine! • Mamba members are sent the hardcopy magazine 30-days prior to the virtual copy coming online! (USPS shipping may take longer than 30-days; we cannot guarantee early screening) • New members receive Special limited Lifetime VOA Mamba Membership badges • All Mamba members receive a special 2023 Mamba membership decal (3″ X 3″ format) • Special designation of “Mamba” on your VOA website forum name • Public acknowledgment of your 2023 Mamba Membership in the last VIPER Magazine • Special early-bird sign-up offerings and discounts for VOA National Viper Events
Legacy Mamba Membership Sign Up
Personal Information
Personal Information
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Former Viper Information
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Year
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2008
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* Year
*
Model
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Membership Information
Membership Information
Click here
for a map of VOA regions to help you choose your local club affiliation.
Region
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(Illinois IL/WI and Other)
Indiana/Kentucky
Minnesota
Ohio
Crossroads of America
Michigan (Motor City Viper Owners)
St. Louis
New England
New Jersey
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WV/PA
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No Regional Affiliation
Region
*
Membership Level
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Legacy Mamba Member
* Membership Level
Membership Liability Waiver and Acknowledgment In consideration of the VOA granting me, club membership, I, by execution and/or receipt of this membership form, or by my signature below, or by my verbal acknowledgment of the receipt of this application/Notice, or by my payment of my membership fee by any method, hereby release and discharge the Viper Owners Association and its Regions, officers, agents, members, representatives, and all other persons or Agencies affiliated with this Club from any and all known and unknown damages, injuries, judgments, and/or claims from any cause whatsoever that may be suffered by me or any member to his/her person, family or property and related to my membership or participation in the Viper Owners Association. Liability insurance is for VOA social activities only, and does not include any racing, track, or competitive driving events.
*
I agree to the rules of the Viper Owners Association:
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