PVS-NCNW Membership Application

FOR NEW AND RENEWAL MEMBERSHIP 2025-2026 FISCAL YEAR

POTOMAC VALLEY SECTION, NCNW, INC
ONLINE PAYMENT FORM

Dues for the 2025-2026 Fiscal Year (the current year) are still being collected. Section members must be financial by March 1, 2026, to be included on the slate of officers to be released in April 2026 and to be eligible to vote in the PVS Section election in May 2026.

The National fiscal year runs from October 1 to September 30 each year.

Effective January 1, 2025, National dues are required for the upcoming Fiscal Year. Annual dues and membership fees, including per capita fees for Life and Legacy Life Members, will be due between January 1 and May 31 for the next fiscal year. Starting June 1st a National late fee of $10.00 will be assessed for Annual renewing members only.

Note: Per National Bylaws - Annual Per Capita. Fully paid Life and Legacy Life members shall pay a twenty-five dollar ($25.00) per capita fee annually. New Life and Legacy Life members shall pay the yearly per capita fee one (1) year after full payment.

Per Capita expiration date is 1 Jan of each year.
PERSONAL INFORMATION

ALL NEW AND RENEWAL MEMBERSHIPS PLEASE COMPLETE THIS SECTION IN ITS ENTIRETY (FOR RENEWAL MEMBERS THIS INFORMATION WILL BE USED TO VERIFY AND/OR UPDATE OUR RECORDS.
TODAY'S DATE

MonthDayYear
Date
FULL NAME*

First NameMiddle NameLast Name
MAILING ADDRESS (Street)*
APT. OR UNIT
CITY
STATE
ZIP CODE
HOME PHONE
CELL PHONE
EMAIL*
ex: myname@example.com
WHO REFERRED YOU
BIRTHDATE
MM/DD
WEDDING ANNIVERSARY
MM/DD
MEMBERSHIP TYPE
MEMBERSHIP FISCAL YEAR
Select Membership Type*

NEW MEMBERANNUAL RENEWAL MEMBERNCNW LIFE/LEGACY LIFE MEMBERNEW YOUTH MEMBER ROPYOUTH MEMBER RENEWAL ROPSTUDENT/COLLEGIATE MEMBER
For new members - PVS dues and national dues must be paid at time of joining. For annual renewal members – you have the option to pay national dues directly or include national dues with payment of PVS dues and the section will send to National central office.
Comments
If you are paying for more than one membership, list the member(s) name and type of membership in the Comment box above and select the Membership Payment Type below. All members need to complete the membership form.
NCNW LIFE OR LEGACY LIFE MEMBERSHIP
New NCNW Life Or Legacy Life Memberships Can Be Paid In A Single Payment Or 4 Equal And Consecutive Installments. (Full payment and 1st installment payment includes Section dues. Remaining payments must be paid during the Program year and does not require Section dues).
New Life Members Only-Select Life Membership Option
MEMBERSHIP PAYMENT SECTION
Check the box for your Dues payment and use the dropdown next to Quantity if you are making multiple payments.
Select Membership Payment Type
Categories:All

All

Annual Members (New & Renewals)

Life/Legacy Life Members (Renewals)

Student/Collegiate Members (New & Renewals)

Youth Members (New & Renewals)

New Life Members

New Life Members Remaining Payment

New Legacy Life Members

New Legacy Life Members Remaining Payment
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Annual Members (New & Renewals)

New Section Members & New National Members$100.00
Section Dues $25.00 and National Dues $75.00

Quantity

Renewal Section Annual Members & Renewal National Members Paying After 05/31/2025$110.00
Section Renewal Dues $25.00 and National Renewal Dues $85.00 (National renewal late fee $10.00 paying after 05/31/2025).

Quantity

Section Payment Only$25.00

Quantity

National Payment Only (New Annual Members)$75.00
This applies only to new members that have paid their Section dues but have not paid National.

Quantity

National Payment Only (Renewal Annual Members)$85.00
This applies only to renewing members that have paid their Section dues but have not paid National dues. National renewal dues are $75 plus $10 Late Fee (paying after 05/31/2025).

Quantity

Life/Legacy Life Members (Renewals)

Section Payment Only$25.00

Quantity

NCNW Life/Legacy Life Member (Section Dues $25 & National Dues $25) $50.00
National Annual Per Capita Dues of $25.00 for all Life & Legacy Life Members.

Quantity

NCNW Life/Legacy Life Member (National Annual Per Capita Dues Only)$25.00
Use this payment if you have paid your Section dues of $25.00 for the Program Year. National Annual Per Capita Dues of $25.00 for all Life & Legacy Life Members.

Quantity

Student/Collegiate Members (New & Renewals)

Student/Collegiate Members (Ages 17-25) Section-10 & National-25$35.00
College Student Ages 17-25 (Graduate program ineligible)

Quantity

Youth Members (New & Renewals)

Youth Member Section-10 & National-10$20.00
Middle thru High School Only

Quantity

New Life Members

New Life Member Full Payment & Section Dues$1,025.00
Section Dues $25 and Life Membership $1,000.00

Quantity

New Life Member Full Payment Only$1,000.00
New Life members shall pay the yearly per capita fee of $25.00 one (1) year after full life payment.

Quantity

New Life Member Down Payment & Section Dues$275.00
Life member down payment $250.00 and Section dues $25.00

Quantity

New Life Member Initial Down Payment Only$250.00
Life member initial down payment only if Section dues have been paid.

Quantity

New Life Members Remaining Payment

New Life Member Remaining Installment Payments Only 2$250.00
Select your next installment(s)

Quantity

New Legacy Life Members

New Legacy Life Member Full Payment & Section Dues$1,525.00
Section Dues $25 and Legacy Life Membership $1,500.00

Quantity

New Legacy Life Member Full Payment Only$1,500.00
New Legacy Life members shall pay the yearly per capita fee of $25.00 one (1) year after full legacy life payment.

Quantity

New Legacy Life Member Down Payment & Section Dues$400.00
Legacy Life member down payment $375.00 and Section dues $25.00

Quantity

New Legacy Life Member Inital Down Payment Only $375.00
Legacy Life Member initial down payment only if Section dues have been paid.

Quantity

New Legacy Life Members Remaining Payment

New Legacy Life Member Remaining Installment Payments Only$375.00
Select your next installment(s)

Quantity

Subtotal $0.00Tax $0.00Total $0.00
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FOR NEW AND RENEWAL MEMBERSHIP 2025-2026 FISCAL YEAR