VMA Conference Non-member Registration
(includes a year-long membership via separate form link)
Your Name (as you would like it to appear on your name tag)
*
First Name
Last Name
Your preferred pronouns
*
Your School or Organization
*
Would you like to join us for pre-conference yoga? (7:45 AM, bring your own mat as we will have limited extras on site, space is limited)
Yes, and I will bring my own mat
Yes, but I will need a mat
No, thank you
Would you like to join others for happy hour after the conference? We recommend the happy hour at Little Mexico (1328 W Cary St) starting at 4:30 PM. Space is limited.
Yes
No, thank you
Your Email (For CEUs and other pertinent updates)
*
example@example.com
What is your lunch preference?
*
Vegetarian
Vegan
No Bread
No Preference
Do you have any nut allergies?
*
Yes
No
My Products
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Individual Non-Member Registration
Get an individual membership for free with this option. Link will appear after payment is received.
$
85.00
Quantity
1
2
3
4
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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