Membership Checkout - SCVFA - Santa Clara Valley Fiddlers Association

Membership Information

You have selected the Passing It On membership level.

“Passing It On” tier - any number of members in the same household where the primary member is under 30 years old.

The price for membership is $10.00 per Year.

Membership expires after 1 Year.

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Account Information

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Primary Information

Mailing Address

Mailing City

Mailing State

Mailing Zip

Primary Phone

Please format your number like (123) 456-7890

Secondary Information

Secondary1 First Name

Secondary1 Last Name

Secondary1 Email

Secondary1 Phone

Secondary2 First Name

Secondary2 Last Name

Secondary2 Email

Secondary2 Phone

Child Information

Child1 First Name

Child1 Last Name

Child2 First Name

Child2 Last Name

Child3 First Name

Child3 Last Name

Child4 First Name

Child4 Last Name

SCVFA Directory:

All information but your street address will be included. Please check any items below that you also DO NOT WANT included in the directory.

City, State & Zip

Phone

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