26/27Treasurers' Association of VA County/City/Town Retired Membership Application Invoice

Please PRINT your information:

Name:		
Title:		

Locality:		

Business MailingAddress:		City,& Zip Code:		
Business Telephone:		Business Fax No:		

Business E-Mail Address:		

Home Mailing Address:		City& Zipcode:		

Home Phone Number:		

Dues cover the period of July 1 to June 30. Dues are not prorated. Dues are billed in July and due upon receipt. Dues must be paid when due to take advantage of discounted education and conference registrations. Please include payment with this application.

Per IRS code section 6113, contributions (including membership dues) are not deductible as charitable contributions for federal income tax purposes. Approximately, 22.4% of membership dues used for political/lobbying expenditures.

Retired TAV Treasurer Dues	$10.00	

$10.00	

(Signature of Member)	(Total Amount Enclosed)

Please make check payable to:	Treasurers' Association of Virginia (TAV)

And send to:	The Honorable Pamela H. Webb
P.O. Box 306
Warm Springs, VA 24484

E-Mail: Longnaker, Rebecca <LongnakerR@chesterfield.gov>
Telephone: 276-328-4077
Fax: 276-328-4570

Email: Pam.webb@bathcountyva.gov
Telephone: 540-839-7257
Fax: 540-839-7258