Membership Form

[ HVE&CA Organization | HVE&CA Home Page]

Membership in the Hudson Valley Entrepreneur and Consultant Association requires filling out the following form and submitting it with $15.00 US "payable to HVE&CA" :




                             HVE&CA
                             Information Architecture
                             32 Woodland Drive
                             Wappingers, N.Y.    12590

                                                            


               Hudson Valley Entrepreneur and Consultant Association
       
                                  Application Form

Name: __________________________________________________________________

Address: _______________________________________________________________

City: _______________________________ State: ________ Zip: _____________

Phones: Business: (____)_______ FAX: (_____)_______ Email: _____________

Company name: __________________________________________________________

Type of business: ______________________________________________________

Other business interest: _______________________________________________