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VOLUNTEER

2010 Thursday,
September 30th, 2010
Blue Ridge Mall
3 p.m. to 7 p.m.
REGISTRATION FORM

AGENCY INFORMATION: (Please complete the following information)

Name of Agency or Organization: _________________________________________________


Mailing Address: ______________________________________________________________
City: ___________________________________ State: _______ Zip: ___________________
Contact Person: _______________________________ Title: ___________________________
Daytime Phone: ___________________________ Fax: ______________________________
Email Address: ________________________________________________________________

What “Volunteer Opportunities” will you be sharing? (Explain briefly)


_____________________________________________________________________________
_____________________________________________________________________________
__

Cost to Participate:
HAVA Members: FREE Non-Members: $10.00
Pay an additional $5.00 for a yearly membership with HAVA that will give you access to more
discounted educational and networking opportunities with other Volunteer Administrators.
Membership also allows you to join us as we pull resources together in promoting awareness
through recognition and appreciation of our volunteers! Leadership opportunities are also
available. Please make checks payable to: HAVA
I am not a HAVA member, but I would Please check setup needs:
like to become one, enclosed is my $15.00. Access to electric power is required
I am a HAVA Member, and would like to Will bring our own table
renew my Membership for 2010-2011 year. Will bring own chairs
Enclosed is my $15.00. Will require ______table(s).
I’m not interested in becoming a HAVA Please note: Only 14 tables available!
member. Enclosed is my $10.00 for the Will require ______ chairs(s).
Volunteer Fair only.
Please return completed registration form General Guidelines:
NO LATER THAN SEPTEMBER 24TH • Set-up can begin after 2:00 p.m.
Mail to: CMLC, Attn: Linda Pilcher. • Tables and chairs are limited; please bring your
P.0. Box 2822, Hendersonville, NC 28793 own if able.
Or fax form to: (828) 697-2602 • Handwritten signs are NOT permitted.
For more information call: Bob Kemp • Power is available upon request. (Please remember
(828) 698-0674 Ext. 106 to bring your own extension cords)

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