WVRPA Membership Application:
Name_________________________________________

Title__________________________________________

Address_______________________________________

Agency/School/Business__________________________

City________________________ State______ Zip________

Phone_________________ Fax ______________________

Email _____________________________________________

WVRPA Membership (Circle One)     New   Renewal
NRPA Membership (Circle One)        Yes    No

Membership Categories:
___ Active $35/year
___ Student $10/year
___ Affiliate/Business $75/year
___ Board/Commission $50/year
___ Agency $250/year
     
Specific Area of Professional Interest:
___ Community Recreation
___ Commission, Board Members
___ Federal or State Government
___ Commercial Recreation
___ Therapeutic Recreation
___ Voluntary Agency (4-H, Scouts, Youth Sports, etc)
___ Professional Recreation-Parks Education
___ Senior Citizen
___ Supplier of Leisure Products
___ Park Maintenance
___ Aquatics  

Mail application form with the check payable to:
West Virginia Recreation & Park Association to:

WVRPA
c/o City Parks of Clarksburg
Attn: John Cooper
222 West Main Street
Clarksburg, WV 26301

© 2000, 2001 West Virginia Parks and Recreation Association
Comments about this site? Send e-mail to Web Manager
All other e-mail should be sent to wvrpa@wvrpa.org