Individual Membership Application

Individual Membership –  $100.00   (tax  deductible)
•  12  month individual  membership
•  Invitations to all SVCA  events
•  One complimentary  beverage* and raffle coupon for each  member and one guest upon check‐in at applicable events  *(age 21 and over)
•  Subscription  to the Valley Access E-­‐Magazine  (SVCA monthly newsletter)

Applications  for  membership  are  subject  to  approval  by  SVCA  Board of Directors

PLEASE NOTE: You will be prompted for payment AFTER you submit your application via PayPal or an option to pay by check.

Name:*

First

Last

Company/School:*

Title/Position:*

Street Address:*

City:*

State:*

Zip:

Phone Number:*

E-mail:*

How did you hear about us?:*

Attended a SVCA event

Referred by a SVCA member

Online/web search

Social Media (Facebook, Instagram etc.)

Recruited by SVCA Baord Member

Other

Please, let us know how you heard about us:

Select Membership Level:*

Individual Membership ($100)

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