Mahoning Valley Young Professionals Membership
Mahoning Valley Young Professionals Club is an organization for young, professional men and women who
are looking to enrich their careers through social, charitable and educational activities.

We offer two types of membership:
Yearly ($50)
Lifetime (one-time $175 charge)

Once you complete the form, you'll need to complete the PayPal payment on the membership page.
Sign in to Google to save your progress. Learn more
Contact & Personal Information
Title
Name *
Suffix
Sex
Street Address *
City, State & ZIP *
Email *
Phone Number *
Birthdate
MM
/
DD
/
YYYY
Educational & Professional Information
Highest form of education completed
College or university attended
Employer
Industry
Position
Other professional & social organizations
Club Information
How did you hear about us?
If you would like to learn about getting involved with any of our committees, please let us know.
Please note: The information you provide to the Mahoning Valley Young Professionals Club is solely for use  within the organization. The Mahoning Valley Young Professionals Club will not provide information to any other  party for the purpose of solicitation, although we may occasionally make the membership list available to other not-for-profit organizations for delivering special event information. Select (non-personal) information provided on this  form may appear in the membership directory, which is used as a tool for interaction among members. Please indicate below if the following apply to you:
In consideration of membership in the Mahoning Valley Young Professionals Club (“MVYP Club”), I waive and  release any and all rights and claims for bodily injury, property loss or damage, delays or inconvenience I may  have against Mahoning Valley Young Professionals Club and its trustees, officers or representatives and assigns  for any and all injuries suffered by me in any event arranged for, in whole or in part, by Mahoning Valley Young  Professionals Club. Further, I grant full permission to any and all of the foregoing to use any photographs,  videotapes, recordings or any record of any event, for any promotion or advertising of Mahoning Valley Young  Professionals Club. I attest that the above information is true. *
Required
I would like to join MVYP Club with the following membership. *
Once you click 'submit', please continue to one of the PayPal links on the membership page.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mahoning Valley Young Professionals. Report Abuse
Google Forms