EmailMeForm
GVCA - AVCA Signature Affiliate Membership
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New Membership
Membership Renewal
Name
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First
Last
Coaching Title
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Email Address
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School/Organization
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School Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Phone
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Mobile Phone
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Home Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Please mail my publications to:
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School Address
Home Address
(Includes GVCA membership & AVCA HS/Interscholastic Membership)
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High School/Interscholastic Membership - $90.00
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PAY BY CHECK (Payable to "AVCA"; Mail to: AVCA, 2365 Harrodsburg Rd, Suite A325, Lexington KY 40504-reCAPTCHA-CLICK SUBMIT)
PAY BY CREDIT CARD (Input CC information below-reCAPTCHA-CLICK SUBMIT)
If Paying by Credit Card; What Type of Card?
VISA
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Questions or Share A Note with GVCA board (100 words or less):
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