Membership Renewal Application Form

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Please note that membership dues are $130 (with an optional donation add-on of $20) for individual member programs.

Membership dues may be paid by check or debit/credit card. Please select your payment option at the end of this application.

Organization *

Organization's general email *

Primary Contact Name *

Primary Contact Title *

Primary Contact Email *

Address number and street *

City *

State *

Zip *

County *

Phone *

Organization Website

Membership Type *

If you would like to add additional email addresses to the NVCN mailing list (e-news and training announcements), please do so here.

Board members and staff, especially the volunteer coordinator, will enjoy receiving their own copy of NVCN communications. Please provide their email addresses separated by a comma.

Payment *

Annual Membership: program $130; member program that is a concurrent member of a member regional organization,$100; Individual $130; Corporate $1,000.

I am mailing my check made payable to NVCN, P.O. Box 7271, Round Rock, TX 78683

I am processing payment with my debit/credit card via the Donate button at www.nvcnetwork.org

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