Breakfast and Learn – December

Name *

First

Last

Have you obtained a Certification in Volunteer Administration (CVA)? *

Certification is not required for membership. We're interested in learning about our members' achievements in the field and how we can support their advancement.

Company

Work Email *

Confirm Email

This is where our notices and emails will go.

Personal Email

Confirm Email

This is where we will send a notice if your work email bounces back for any reason.

Work Phone

Cell Phone

Would you like a reminder of upcoming events via email?

We will only send reminders of upcoming events in this matter starting with this membership year. Please make sure you have provided the information above. If you decide later you would like updates, you can ask to be added to the update list at a later time.

Company Address *

Address Line 1

Address Line 2

City

State

Zip Code

Annual Membership (September 1, 2023 to June 30, 2024): *

Individual - $ 65.00
Group (4 members) - $ 200.00
Group (5 members) - $ 260.00
Pro-Rated Membership (enter agreed-upon amount as additional donation below) - $ 0.00

Please list full names and email addresses of additional group members

Enter Pro-Rated Membership amount or make an additional donation to support AVACA's programming here

Enter amount you'd like to donate above. Total will be automatically updated. Funds may be used to support scholarships for fellow Volunteer Administrators or to bolster Association's ability to provide high quality programming throughout the year.

Total Amount

$ 0.00

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Name

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