Women Education Leaders in Virginia

                      

 

Text Box: Memberships: Annual: $25/yr Retired Educator: $15/yr To renew: - Fax your P/O to: (540) 832-7735 - Mail your check to:       WELV       PO Box 169       Gordonsville, VA 22942                                  Membership Form
                         (read information at bottom of page) 
 


Check one:       New Member             Renewal

 

 

Name:  

 Position/Title:    

 School/Organization:   

 School Division:  

 Region:    (click here for Region List)

 

Home/Preferred Mailing Address:  
 

Business Phone Number:  

 

Fax:    

 E-mail (required):    

 

 

Payment Options (Due to the high cost of credit card fees we are not able to process a payment of $25 or less. Thank you for your understanding)

1. If you would like to use a purchase order, print out this form and fax it along with your purchase order to
    (540) 832-7735.

2. Mail your registration form and a check, made payable to WELV to:

    WELV
    PO Box 169
    Gordonsville, VA 22942