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Contact

Bonnie Dalal
The Valley Hospital Auxiliary
201-447-8136
auxiliary@valleyhealthnews.com

The Valley Hospital Auxiliary Membership Form

Sign up below for Valley Hospital Auxiliary Membership and Experience The Power of Giving through Service, Volunteering, and Fundraising today! Once your membership dues payment is received, you will be contacted to discuss how you would like to contribute as a new member!

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Personal Information

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
* Address 1:
Address 2:
* City:
* State:
* ZIP Code:
* Phone:
Cell Phone:
You must be 18 years of age or over to be a member of the Valley Hospital Auxiliary. Donations are tax-deductible to the extent allowable by law. Retain your receipt from this payment for tax purposes. The Valley Hospital Auxiliary is a 501(c)(3) not-for-profit. EIN 226-059-984/000

Fee

Type	Fee
1 Year Membership fee	$20.00

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The Valley Hospital Auxiliary Membership Form

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