Membership Application

Mimbres Valley Health Action League

Membership Application, 4/1/2024 to 3/31/2025

Once this application is received, you will be sent an invoice for the Membership you selected.

MVHAL Membership Application
Please name the contact person if not you.
If you have a business name, please add it
Street name & Number or PO Box Number
Are you open to being contacted as a potential volunteer at MVHAL events? *
Which Membership would you like *