DOVIA Membership Form 2010-2011

Individual Member: $50

 

Member Information:

Text Box: Today’s Date: ____________________ Check #: ______________ Name_______________________________________________________________ E-mail_______________________________________________________________ Your Job Title ________________________________________________________ Work Phone: ( )___________________ Fax: ( )__________________________

Agency Information:

Text Box: Agency/Organization___________________________________________________ Mailing Address_______________________________________________________ City/State/Zip_________________________________________________________ How many volunteers does your agency currently engage (approximate)? ______ What are the services your volunteers provide? ____________________________ _____________________________________________________________________ How many clients does your agency currently serve (approximate)? ___________ What are the demographics of your clients (age, race/ethnicity, etc.)? _____________________________________________________________________

 

Membership Dues are paid on an annual basis, September 1- August 31.  Discounts for joining mid-year are not provided.  Memberships are per person and are non-transferable.

 

If you are a current student or if dues present a hardship, please email DOVIA at the DOVIAustin@yahoo.com. 

 

Return membership form and payment to:                         For additional information:

 DOVIA                                                                               www.DOVIAustin.org

 P.O. Box 2606                                                                   DOVIAustin@yahoo.com

 Austin, TX  78768                     

 

Please make checks payable to DOVIA.

For easier payment:  www.paypal.com.  Enter doviaustin@yahoo.com to submit payment.

 

Please remember to also email or mail membership form if paying through Paypal to:

DOVIA P.O. Box 2606  Austin, TX  78768

 

 

DOVIA meetings are the 3rd Wednesday of the month from 11:45-1:00.

We look forward to working with you!
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