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HVLSA Meeting Registration Form
If you plan to attend the Jan. 27th virtual meeting, please complete this form to register
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* 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
Home Street Address
*
Your answer
Home Town
*
Your answer
Home State
*
Your answer
Home Zip
*
Your answer
Do you have a membership for the 2020-2021 year?
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Yes I have purchased a membership
No, I have mailed, or will mail the membership form and payment to the HVLSA, PO Box 54, New City, NY 10956
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 $20 payment for meal)
$25 Associate (bring $20 payment for meal)
$15 Student (bring $20 payment for meal)
Not obtaining a membership
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