CAVNET Guest Book
CAVNET
(Communities Against Violence Network) 		Guest Book

All members are issued a user name and password, granting them access to nonpublic areas of the online database, and have authority to add content to the database (subject to approval).

You have two membership options:

Your membership will be activated upon receipt of payment and will be valid through December 31st, 2005. Please email mdubin@pobox.com with your preference, and which method of payment you will be using.

As a member of CAVNET, you have joined a worldwide community of experts and advocates committed to collaborating with one another to share information and resources concerning violence against women, human rights, and crime victims with disabilities.

CAVNET is a proud recipient of a Ms. Foundation grant, A Lifetime Television.

Name:

Mailing Address:

City and State:

Telephone Number:

Fax Number:

Job Title and Description:

Organization:

Email Address:

Reference:

Reason for Joining:

Background/Experience/Expertise:


Website and mailing list ($50)
Website Only (no mail) ($100)

Memberships are good for each calendar year. You will be billed for each calendar year, but reapplication on this page is not necessary.