VHAMSEA Membership Registration Form.

VAHAMSEA Membership Registration

Complete the form below to sign up for membership
Name*

First NameLast Name
E-mail - This email address will be used to send confirmation and receipt*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Affiliation (School Region/District, Hospital, College, University)*
1. Please, refer to the VAHAMSEA.org website for current inforamtion on By-Laws, Executive Board contact inforatmion, Summer Conferences and applications for awards, scholoships, and regristation for conferences.

2. Our physical year runs from July 31th to August 01st for annual dues each year
Year of Membership(s): Choose your registration*

Year 2022- 2023
CREDIT CARD Payments

One Year of Membership is $15.00

2022-2023 Year Membership

$15.00

Total

$0.00

Privacy Policy
All your informatioln in kept priviate and we do not use, sell or share your information with any out side parties.
If paying by check, mail check to:

Virginia Medlin, Treasuer

2716 St. Charles Ave.

Virginia Beach, VA 23456
Thank you!

Any problems with form contact Virginia Medlin at vmedlin@nps.k12.va.us for Help
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VAHAMSEA Membership Registration