DOVIA of Larimer County

(Directors Of Volunteers In Agencies)

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 rates for all DOVIA sponsored programs and events
Regular mailings of meeting notices, minutes and information
Regular professional training programs and events
Access to the network of volunteer directors
Access to DOVIA's library of volunteer resources

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.