Supplemental Form for Multiple Members - IMVCA 2023-24 Annual Membership
For IMVCA Membership July 1, 2023 - June 30, 2024

A Membership Application is required for each individual or organizational applicant. 

For organizations registering up to 20 members, individual members can be listed here after completing the parent form (link below). For organizations registering more than 20 members, please email us (link below).

Please complete Parent Form first: https://forms.gle/2r8oKYcCvkGq6mEM9

Questions? Please send us an email
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Email *
Organization *
Member 1: Last Name,  First Name, Email Address
Member 2: Last Name,  First Name, Email Address
Member 3: Last Name,  First Name, Email Address
Member 4: Last Name,  First Name, Email Address
Member 5: Last Name,  First Name, Email Address
Member 6: Last Name,  First Name, Email Address
Member 7: Last Name,  First Name, Email Address
Member 8: Last Name,  First Name, Email Address
Member 9: Last Name,  First Name, Email Address
Member 10: Last Name,  First Name, Email Address
Member 11: Last Name,  First Name, Email Address
Member 12: Last Name,  First Name, Email Address
Member 13: Last Name,  First Name, Email Address
Member 14: Last Name,  First Name, Email Address
Member 15: Last Name,  First Name, Email Address
Member 16: Last Name,  First Name, Email Address
Member 17: Last Name,  First Name, Email Address
Member 18: Last Name,  First Name, Email Address
Member 19: Last Name,  First Name, Email Address
Member 20: Last Name,  First Name, Email Address
A copy of your responses will be emailed to the address you provided.
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