HVLSA Meeting Registration Form
If you plan to attend the Jan. 27th virtual meeting, please complete this form to register
Email address *
First name *
Last Name *
Cell phone: *
Work phone
Municipality, Business, or Organization Name *
Home Street Address *
Home Town *
Home State *
Home Zip *
Do you have a membership for the 2020-2021 year? *
Indicate the type of Membership you have, or are, obtaining *
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