Northern Virginia Bead Society (NVBS) - Online Membership Application

*First Name:

If you have a nickname you would like to use, please enclose in ( )

*Last Name:

*Email:

Valid email address is required. Our Privacy Policy is strictly enforced.

*Phone:

please use the XXX-XXX-XXXX format and indicate type: home, cell, office, etc.

*Address Line 1:

Address Line 2:

*City:

*State/Province:

*ZIP/Postal Code:

*Have you been a member at any time during the past 3 years?

Yes, I have been a member in the past 3 years No, I have not been a member in the past 3 years

Do you have a bead related business?

If so, you may list it here and we will add it to the member's directory.

Do you have a bead related web site:

If so, you may list it here and we will add it to the member's directory.

*By submitting this application, you are agreeing to the following statement.

I am applying for a Gold Membership. I understand and agree that Gold Memberships are reserved for those who pledge their commitment to actively participate in one or more NVBS event, outreach program, committee, or administrative function during the year. I also understand a member of the Volunteer Committee will be contacting me. I am applying for a Silver Membership. I understand and agree that Silver Memberships are for those not interested or unable to pledge their commitment to actively participate during the year.

By clicking the box above, you are affixing your electronic signature. If the box is left unchecked your membership will be declined.

Submit Your Application:

Thank you for your interest in the Northern Virginia Bead Society.

Please don't forget to visit the payments page to pay your dues.