Membership Form

Founded in 1986, the National Congress of Vietnamese Americans is a 501(c)(3) nonprofit community advocacy organization working to advance the cause of Vietnamese Americans in a plural but united America – e pluribus unum – by participating actively and fully as civic minded citizens engaged in the areas of education, culture and civil liberties.

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Membership Form

Please complete this form to become a member of the National Congress of Vietnamese Americans.

Registration is not complete until we have received your Membership Fee for the selected Membership Level at the following address:

National Congress of Vietnamese Americans
6433 Northanna Drive
Springfield, VA 22150

Click here to pay online.

For more information, contact us at (877) 592-4140 or email info(at)ncvaonline(dot)org.

Please provide the following contact information (asterisk items in red are required):

Title

* First Name

* Last Name

Middle Name

Job Title

School/Organization/Company

* Street Address

Address (cont.)

* City

* State/Province

* Zip/Postal Code

Country

* Phone

FAX

* E-mail

URL

How did you hear about NCVA?

* Membership Type

How are you currently involved in your community?

If you belong to an organization, what is its mission?

Privacy Policy: NCVA will never rent, sell or give the information you provide through this site to anyone else without your explicit permission.

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● CAMBODIA MEDICAL RELIEF MISSION

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Title
* First Name
* Last Name
Middle Name
Job Title
School/Organization/Company
* Street Address
Address (cont.)
* City
* State/Province
* Zip/Postal Code
Country
* Phone
FAX
* E-mail
URL
How did you hear about NCVA?
* Membership Type
How are you currently involved in your community?
If you belong to an organization, what is its mission?