Membership

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Please fill out the form below along with your credit card information to make payment. You will receive an email receipt and notification from our organization confirming your application.

Personal Information

Membership Type: *

Membership Year: *
(Membership is not pro-rated)

I hereby certify that my employer meets the qualifications (described on the Membership Information page) for membership in VSIA in the category selected above.

Credit Information

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Expiration Date: *

Receipt?

Would you like to be emailed a receipt of this transaction? Please complete both the Name and Email Address fields below. Both fields are required.

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