MRVA Membership Application
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Name of Business / Organization (If applicable):
*
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Contact Person Name
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Work Phone
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Home Phone
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Street Address
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City
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State
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ZIP
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E-mail
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Website
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Which of the following groups do you most identify with?
Food Producer
Hospitality and Tourism
Wineries and Vienyards
Artisan
Government
Retailer of Local Goods
Other:
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What special skills and interests would you be interested in sharing with the MRVA?
Volunteer at Events
Desktop Publishing
Public Speaking
Media Relations
Fundraising
Organizing Events
Computer Mapping Software
Education
Database Management
Networking with Other Groups
Photography
Other:
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Are you interested in serving on the Board of Directors?
This Year
Maybe in Future Years
Not at all
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