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You may use the form below to submit your membership request and pay by credit card
or
Click here to download form and use purchase order or check and send by mail:

Mail to: VAG, P.O. Box 26212, Richmond, Va. 23260-6212

 

Check if Interested:       Contact me, I am willing to help in my school division.

First Name     Last Name  

Address  

City      State       Zip  

Home Phone      Work Phone  

Fax

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Check as appropriate:

Parent          
                           (Name of school division your child/children attend)

Professional
                                     (Name of school division where you are employed)

  1 year $20.00  2 years $35.00   

 Renewal  Membership #          New Member

 

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