Your $15 membership fee pays for one calendar year membership. If you attended the previous year's SWVMA Annual Conference, your dues were included in that fee.

Name ______________________________________________________________


Affiliation (if applicable) ________________________________________________


Address ____________________________________________________________


City, State, Zip ______________________________________________________


Phone __________________________________________________


E-mail __________________________________________________


Mail the above information with a check for $15 to the following address:

Make check payable to SWVMA.

     Laura Moser, Treasurer
     P.O. Box 5151
     Phoenix, AZ 85010-5151