Online Registration

Your Information

First Name:		Last Name:
		Maiden Name:
Address:		FVGS Member:	Yes, I am a current member No, but I was previously a member No, I have never been a member
City:		State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:
Phone:	–	E-mail (For Newsletter):

Select Membership Options

We would appreciate it if you would add $1 Yes No to the membership fee to defray charges we pay to collect payments online.

2018 Membership      Please select the Membership Desired.
Student Membership – $5
Individual Membership – $20
Family Membership – $25

Family Member Name:		Maiden Name:
Family Member E-mail:		If Different Than E-mail Above

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