APPLICATION for CHARTER MEMBERSHIP
In the Kanawha Valley Village People (KVVP) of West Virginia
When you’ve completed the application, mail it and your check to us at:
KVVP, Box 60076, Charleston, WV, 25303
Please fill out the requested information so that...
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APPLICATION for CHARTER MEMBERSHIP
In the Kanawha Valley Village People (KVVP) of West Virginia
When you’ve completed the application, mail it and your check to us at:
KVVP, Box 60076, Charleston, WV, 25303
Please fill out the requested information so that we can contact you with meeting notices, news, and event information.
Also, all charter members are eligible to receive a handy MedCard which will fit in your wallet or purse containing your
up-to-date medical information useful for doctor’s visits, hospital admissions, ER visits and anywhere else your personal
medical history is needed. Check out this page http://www.kvvp.org/index.php/med-info-sheet/, ‘Med Info Sheet’
under ‘Member Benefits’ at our website, http://www.kvvp.org/ , for further information on how to obtain your free
MedCard.
PLEASE PRINT CLEARLY
Name*
Address
Street, City, State, ZIP
E-mail address
Phone - Home, Cell, Work
Emergency Contact
(Name, relationship, phone)
Any other information you
would like us to have
*B
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