Membership Application

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To pay online, use the PayPal link on our website. If you would like you can mail your $10.00 (per person) to PCHA, P. O. Box 231, Luray VA 22835. Please enclose a self addressed stamped envelope with your application and payment for the return of your membership card(s). THANK YOU FOR YOUR SUPPORT.

First and Last Name *

Mailing Address *

Phone Number *

Email Address

Which of the following methods do you prefer to receive communications from PCHA?
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We are moving to more electronic communications with membership to save on mailing costs. Please let us know how you want to receive communications.

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Mail thru the USPS

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