New Member Application or Membership Directory Update
Annual membership dues are $30.
Be sure to indicate whether or not you would like your contact information published in our Membership Directory.
Please provide us with the information you would like to have printed in the annual Membership Directory. (Please include your telephone number in case we need to reach you for further information.)
Remove from Directory
City State & Zip
Magisterial District Select One.
City of Manassas
City of Manassas Park
Publish Home Phone in Membership Directory?
Publish Work Phone in Membership Directory
Publish Email Address in Membership Directory?
Community Affiliations: (civic,charitable,community,professional groups, etc.)
May we publish your name and contact information in the Member Directory
Referred by (or) Member Sponsor
Member dues will be paid by
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