PVS-NCNW Membership Application

FOR NEW AND RENEWAL MEMBERSHIPS 2025-2026 FISCAL YEAR

POTOMAC VALLEY SECTION, NCNW, INC
MAIL-IN 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 AND DUES OWED
MEMBERSHIP FISCAL YEAR*
Select Membership Type

NEW MEMBERANNUAL RENEWAL MEMBERNCNW LIFE/LEGACY LIFE MEMBERNEW YOUTH MEMBERYOUTH MEMBER RENEWALSTUDENT/COLLEGIATE MEMBER
DUES OWED FOR NEW/RENEWING MEMBERSHIP (Select your Membership payment) *
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 NCNW central office. If you are paying for more that one year, please indicate in Comment box.
Comments
If you are paying for more than one membership, list the members name and type of membership and select the various payment options. All new members need to complete a membership form.
NEW 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. (Payment does not include PVS $25.00 Section dues).
Select Life Membership Option
Select Life Membership Payment Amount
Click To View Committees Description
If you are not working on a PVS committee - Select below to Join A Committee(s)

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FOR NEW AND RENEWAL MEMBERSHIPS 2025-2026 FISCAL YEAR