845-431-5664

Online Membership Application

  • 2020 Membership

    Deadline March 31

    Please fill out this form for renewals, new members and membership changes and send the form to the Treasurer:
    Nancy Sheehan, NYSAVSA Vice President Vassar Brothers Medical Center 45 Reade Place, 4th floor Poughkeepsie, NY 12601

    *Plus online registration service fee
  • $0.00
  • Once membership dues are received the member’s information on this form will be officially add/change/delete on our mailing list. The information will then be updated on our web page: www.nysavsa.org at which time active members will have full access to NYSAVSA and its services.