Important information about membership:

• $100 Memberships are for organizations (up to 4 members)
• Memberships run from January – December each year
• If requested, we can post your organization’s logo and/or link on our Members Page
• Annual fee may be paid in cash, check (payable to “DOVIA Mississippi”), PayPal, or Visa, MasterCard, Discover, or American Express via PayPal (convenience fees apply)

MEMBERSHIP FORM:

Organization (as you want it to appear on member certificates) *

Organization's Phone Number (111-222-3333) *

Member #1 *

First

Last

Email #1 *

Member #2 *

First

Last

Email #2 *

Member #3 *

First

Last

Email #3 *

Member #4

First

Last

Email #4

Choose your payment method:$100 - Company check$103 - Credit card

To pay by credit card, use the payment gateway below after submitting. Thanks!

Sign us up!

If paying with a credit card, click “Buy Now” below for the PayPal payment gateway and choose “Pay with a Debit/Credit Card” at bottom of the screen.

Enter organization name:

OR… Mail $100 annual organizational dues to the Treasurer:

DOVIA Mississippi
c/o Fran Baker, DOVIA Treasurer
901 Manship St.
Jackson, MS 39202
PH: 601-278-4460

Get a paper organizational application form: ORGANIZATIONAL membership form