Boston Area Returned Peace Corps Volunteers

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New Member Application

Apply for your BARPCV membership on-line! Click on each heading below to open up the data fields for completion. Only your name, zip code, and email are required.

Personal Information

First Name: *

Last Name: *

Address line 1:

Address line 2:

City:

State:

Zip Code: *

Home phone:

Work phone:

Cell phone:

Email: *

Job:

Employer/School:

Other interesting information about you:

Second member of household - click if appropriate

If you are joining as two people at one address

First Name:

Last Name:

Email:

Country of service:

Years of service:

Peace Corps Experience - click to complete

Country of service:

Years of service (e.g., 2001-03):

Second country of service:

Years of service (e.g., 2001-03):

BARPCV Info and Payment Options

BARPCV activities you'd like to be involved with:

Board

Membership

Social Activities

Basketball

Other Sports

Cultural Activities

Welcome Back/Send Off

Career Counseling

Speakers Bureau

Other activities/events you would like to see?:

Payment options - Please select one:

$0.00 - Back under one year

$20.00 - Single membership

$25.00 - Two in one household

$55.00 - Single membership plus membership in NPCA

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Boston

By david - Posted on 14 November 2008

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