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DRAVA Annual Membership Form 2024
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DURHAM REGION ASSOCIATION FOR VOLUNTEER ADMINISTRATION
2024 Membership application January 1 - December 31, 2024
Please check Membership Category
*
Regular Member ($50.00)
Full-time Student ($25.00)
Retired ($25.00)
Active Board Member ($25.00) *must be active for at least 6 months
STATUS:
Please check all that apply:
*
New Membership
Renewal
Personal Membership
Agency Membership
Required
Payment Method
*
E-transfer to
president@drava.org
Cheque* (*Payable to: DRAVA, Durham Region Association for Volunteer Administration) Mail to: Tara Cooper Grandview Kids 600 Townline Rd S, Oshawa, ON L1H 0C8
AGENCY INFORMATION
Agency Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Postal Code
*
Your answer
Executive Director/Manager
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Your answer
Executive Directors/Manager's e-mail address
*
Your answer
Number of Volunteers
*
Your answer
Number of volunteer Hours
*
Your answer
Website
*
Your answer
REPRESENTATIVE NAME
Representative Name
*
Your answer
Job title
Your answer
E-mail address
*
Your answer
Telephone Number
*
Your answer
Fax Number
Your answer
I agree to have my agency contact information distributed to DRAVA members only
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Yes
No
I give permission for DRAVA to use my photograph for the purpose of promotion.
*
Yes
No
Signature - typing your name will serve as your signature.
*
Your answer
Date
*
MM
/
DD
/
YYYY
Send me a copy of my responses.
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