JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
HVLSA Meeting Registration Form
If you plan to attend the Feb. 24 meeting either in person or virtually, please complete this form to register
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First name
*
Your answer
Last Name
*
Your answer
Cell phone:
*
Your answer
Work phone
Your answer
Municipality, Business, or Organization Name
*
Your answer
Do you have a membership for the 2020-2021 year?
*
Yes I have purchased a membership
No, I will be bringing the membership form and the payment to the meeting
No, I have mailed, or will mail the membership form and payment to the HVLSA, PO Box 54, New City, NY 10956
No, I am attending as a non-member and will bring $25
Indicate the type of Membership you have, or are obtaining
*
$95 Deluxe (you do not need to bring payment to each meeting)
$40 Commission/Board (bring $25 payment for meal)
$25 Associate (bring $25 payment for meal)
$15 Student (bring $25 payment for meal)
DNA
Check the way you plan to attend the meeting:
*
In person
Virtually via Zoom
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
