IMVCA 2023-24 Annual Membership

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For IMVCA Membership July 1, 2023 - June 30, 2024

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

Due by June 30, 2023

Questions? Please send us an email

Email *

First Name

(For organizations, such as mosquito abatement districts, please enter first name of organization representative who will attend the annual business meeting)

Last Name

(For organizations, such as mosquito abatement districts, please enter last name of organization representative who will attend the annual business meeting)

Want to Add Multiple Members?

Please see directions at end of form

Organization *

Street Address *

City *

Zip Code *

State *

Phone Number

Membership Type (check ALL pertinent boxes below)

Annual Membership: for individuals or representatives of organizations. Annual members enjoy all the privileges of membership except that they have no vote in the Association. (Payment with check by mail or credit card on-line.)

Sustaining Membership: any members who wish to donate more than the membership dues. The name of the member and the amount donated will be officially posted at the annual meeting and recorded in annual meeting minutes. (Payment with check only)

Honorary Membership: honorary members pay no dues and are nominated by voting members of the IMVCA and approved at the Annual Business Meeting of IMVCA. However, please register your membership here.

Voting Membership: for legally established Mosquito Abatement Districts, and other pertinent State and Local Governmental Agencies, in the State of Illinois. Only one voting member per organization is permitted. Attendance by organization representative is required at the Annual Business Meeting. Choose amount due below, as defined in Article VI, Section 3 of the IMVCA by-laws based on the size of the current annual budget for the organization. (Payment with check by mail or credit card on-line.)

Annual Membership: $25

Sustaining Membership: $30+

Honorary Membership: no cost

Voting Member, district annual budget less than $30,000: $25.00

Voting Member, district annual budget $30,000 to $200,000: $50.00

Voting Member, district annual budget $201,000 to $1,000,000: $150.00

Voting Member, district annual budget more than $1,000,000: $200.00

Required

Paying by Check or Credit Card On-line? *

Registering more than one member?

After completing information above, please complete supplemental form for multiple members

Yes

Check by Mail

Please enter check number below

Please include Organization/Individual name & “IMVCA Dues” in check memo

Organizations may submit a single check for multiple applications, provided the check number is listed with each separate application.

Mail payments to:
IDPH West Chicago Regional Office
Attn: Sharon Verzal – IMVCA
245 W. Roosevelt Road, #5
West Chicago, Illinois 60185

Credit Card Payments On-line

Please click appropriate amount below to make payment* (will open in new tab)

Individual Membership: $25 + $1.03 = $26.03

Voting Membership, <$30K: $25 + $1.03 = $26.03

Voting Membership, $30K - $200K: $50 + $1.75 = $51.75

Voting Membership, $201K - $1M: $150 + $4.65 = $154.65

Voting Membership, >$1M: $200 + $6.10 = $206.10

*Credit card payments will incur a convenience fee of 2.9% of the purchase total plus $0.30 per transaction, as indicated in totals above.

Secure on-line payments via credit card provided by Stripe

A copy of your responses will be emailed to the address you provided.

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