Navigation

You are hereIndividual Registration

Individual Registration

Thanks!

Thank you for paying your EVNA dues online. A receipt for your dues has been
emailed by PayPal to you. You may log into your account at

www.paypal.com/us to view details of this transaction.

Now that you are a individual member of the EVNA, please let us know a
little bit about who you are. Only the *fields in red are required,
but you may fill in as many of the fields below as you like.

*first name: *last name:
(subscription to the Eureka! email announcement list will follow this roster data page. Please only enter your email here if you wish it to appear in optional rosters per below)
email:
home phone: business phone:

*Eureka Valley address:
city:
st:
zip:

mailing address:

 use above address
or:
city:
st:
zip:

From time-to-time the EVNA may publish rosters to the membership. . .

Include me in any online roster
list me any paper roster distributed to the membership
I really badly want a hard copy of the Eureka! mailed to me even though I understand that I will be costing the EVNA postage and removing one copy of the Eureka! from outreach.