NCAVA Individual Membership

January 1 – December 31 of each year

$40 Annually

An individual may join NCAVA and be eligible for all basic membership benefits. An organization may pay for an individual’s membership but the membership belongs to the individual NOT the organization.

First Name

Last Name

Organization Name

Organization Website

Title

Contact Phone Number

Email Address

Of what local NCAVA affiliate are you a member?

This membership is

A renewal

1st time joining

Do you hold a CAVNC certification from NCAVA?

Yes

NCAVA Membership must be maintained to retain certification.

Have you ever presented workshops in the past?

Yes

If yes, what topics?

Check this box only if your membership information cannot be shared within NCAVA

Do not share my information