Please complete and submit the following application at least 3 weeks prior to your event.
Note: The web form below will not save your content if you exit the page without submitting.
Click HERE to download the printable PDF of the application and guidelines.
If you prefer, paper application may be completed and mailed to:
MVHPC
Attn: Audrey Cassell
1427 Edgewood Drive
Suite 101
Mount Airy, NC 27030
