Membership Form

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

• Growing Herbs,
• Cooking with herbs,
• Continuing Education,
• Improving my Health with Herbs,
• Creating Herbal Art

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:

• __Individual $20 
• __Family $30 
• __Professional $50 
• __Corporate $100 

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

WVHA c/ o Kathy Flewelling
RR 2. Box 71 E
Proctor WV, 26055

Sponsored/Supported by WVHA
Site Hosting by
The Herbal Connection