VHAMSEA Membership 2024-2025 Registration Form.

VAHAMSEA Membership Registration

Complete the form below and PAY 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

CityState / Province

Postal / Zip Code
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

3. For accounting purposes, only one year can be paid at a time.
CREDIT CARD Payments

CHECK THE BOX for One Year of Membership is $30.00

CHECK THE BOX TO PAY THE 2024-2025 Year MembershipStarts August 01, 2024 -July31, 2025

$30.00

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.

**READ: Multiple years can not be paid in advacnce because we reserve the right if the need to increase is necessary.
If paying by check, mail check to:

Virginia Medlin, Treasuer

2716 St. Charles Ave.

Virginia Beach, VA 23456

Please, mail the check within 30 days of registering - Don't Forget
Thank you!

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