Membership Form

Yes, I would love to join the West Virginia Herb Association WVHA! I am very interested in:

Note: CEU's available.

Volunteering sounds like fun! __ Have my Regional Coordinator contact me.

__There is a change in my contact info. __This is a renewal

			Name: ____________________________________________ 
				
				Address: __________________________________________
				 
				County: __________ 
				
				Phone, Fax: ________________________________________ 
				
				Email, Website: _____________________________________ 
				
				Business Name: _____________________________________ 

Member Dues:

Please print and mail this completed membership Form and check or money order to:

WVHA c/ o Judy McConnell
605 Sand St.
Ravenswood, WV 26164



Sponsored/Supported by WVHA
Site Hosting by
The Herbal Connection
For website comments and submissions, please contact:
Webmaster

Copyright © 2001-2007 by WVHA.  All rights reserved.
last updated:30 January, 2007