LIV Annual Membership Registration & Invoice
(Fiscal Year 08.01 to 07.31)
Your completed form and payment need to be turned in by October 1 so that you will not have a lapse in membership benefits.
Please make the check out to Leaders in Volunteerism or pay online through LIV’s Pay Pal.
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Agency Registering for Membership
Type of Membership
Agency - $50.00: Allows multiple individuals to be members from the agency.
Individual - $30.00: Designed for a sole agency representative or unaffiliated individual.
Pay Pal/Credit Card (Use link below this window)
Mail a Check (UWECI - LIV, 317 7th Ave SE Ste 401, Cedar Rapids, IA 52401)
Link to Agency Website
Please share the contact information for all individuals that are covered under this membership. We have provided space to list up to four contacts. If you need to add additional contacts, please reach out to
Name of main contact
Do you have additional contacts to enter?
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