Become a Member - Okaloosa Walton Domestic Violence Coordinating Council (OWDVCC)

If you would like to become a member of the Coordinating Council, please fill out the information below. Your membership is valid for one year. Membership fees for 2007-2008 are:

$25.00 - Agency to include unlimited amount of representatives.
$10.00 - Individual rate

Purchase your membership online:

You can now submit your cash donations online using your credit card with Paypal.com, a secured server. Click on the "Add to Cart" button beside the donation level desired. Once you have done so, you will then be prompted to complete your credit card transaction.

	Agency Membership $25.00:
	Individual Membership $10.00:

OR

Mail your check to us at:
Okaloosa-Walton Domestic Violence Coordinating Council
P.O. Box 220 | FWB, FL 32549

Please type on the box below the committee you would like to participate in. You may choose more than one.
	Criminal Justice
	Prevention
	Public Awareness
	Victim Advocacy
	Walton County


Name

Agency

Title

Address

City

State	Zip Code

Phone

Email

	Okaloosa-Walton Domestic Violence Coordinating Council P.O. Box 220 \| FWB, FL 32549 info@owdvcc.org