VCCA MEMBERSHIP APPLICATION / RENEWAL

MEMBERSHIP RENEWAL

Membership Type*

Individual $60Student $25Corporate $200

Member"s First Name*

Member"s Last Name*

Member"s E-mail*

Business Name

Address*

City*

Postal*

Date Dues Paid*

Date

Paid by*

Credit Card

Dues must be paid before October 31 to ensure your voting status prior to the AGM (Usually held in the third week of November)

Memberships expire on August 31 of the year following the year that the membership is paid. New members joining after April 30 will be considered paid members until August 31 of the year following the year in which the membership was paid.