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DOVIA of Larimer County

(Directors Of Volunteers In Agencies)


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CLICK HERE to download the Membership Application for 2010, or print this page and submit with payment.

Membership Form, March 2010 - June 2011 (16 months)

Individual Memberships($25)*: _______
Agency Multiple (More than one Person) Membership($40*): ________

Name _______________________________________________________ (Primary contact)

No. years of Volunteer Management Experience, 0-1___, 1-5___, 5-10___, 10+___.

Agency __________________________________________________________________

Address _________________________________________________________________

City ___________________________ State _________ Zip _______________

Phone ______________, Fax ______________, E-mail ________________________

For Agencies, additional contacts:
Name _______________________, Phone ________________, E-mail _________________
Name _______________________, Phone ________________, E-mail _________________
Name _______________________, Phone ________________, E-mail _________________

Send form and appropriate membership fee to:


DOVIA of Larimer County
424 Pine Street, Suite 203
Fort Collins, CO 80524
Questions: Charlene Olms, 970.530.3113
Or: Adam Molzer970.407.7052



Membership Benefits: Membership year is from - March 1 through Feburary 28
Individual Membership $20.00
Agency Membership (for more than one person) $30.00
DOVIA's EIN is 84-0986189, if it helps your A/P Dept.