(A Non-Profit Organization: A501(c) (4) Organization (IRS EIN# 23-2613781)
559 Championship Drive, Harleysville, PA 19403 Phone: +1 267-994-0594
Pay now with
Please make the secure payment using the PayPal button above before continuing. Please make note of the confirmation number provided by PayPal after successful payment completion. PayPal will redirect you back to this registration form for completion.
Note: TAGDV reserves the right to verify the information provided. If TAGDV determines, in its sole discretion, that any individualon this application provides false or misleading information, TAGDV may reject this application
By Clicking “SUBMIT” I certify that all the information that was provided by me in this form is true to the best of my knowledge. I also hereby authorize TAGDV to publish my name, address and home phone number on the TAGDV web and in the TAGDV Directory.