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Section 1 of 1
Membership Application

To pay online, use the PayPal link on our website.  If you would like you can mail your $10.00 (per person) to PCHA, P. O. Box 231, Luray VA 22835.  Please enclose a self addressed stamped envelope with your application and payment for the return of your membership card(s).  THANK YOU FOR YOUR SUPPORT.


First and Last Name
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Mailing Address
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Phone Number
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Email Address
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Which of the following methods do you prefer to receive communications from PCHA?
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We are moving to more electronic communications with membership to save on mailing costs. Please let us know how you want to receive communications.
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Email
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Mail thru the USPS
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add "Other"
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Mailing Address
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Which of the following methods do you prefer to receive communications from PCHA?
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