VVMA Members

Virginia Veterinary Medical Association

"Preserving and enhancing the quality
of human and animal life through
veterinary medicine"
 

New Member Application...

Please fill in the below information and click on the submit button when completed:

 
Login/Account Information 
UserName    *    
   
    
   This is your unique username used for login later.
    If the username is already taken by another user, then you have to choose another.

Password     *     
    This is your password used for login later.
   
Password minimum length : 8 characters.  Non-alphanumeric characters required: 2.
    ( Password Example:  Animals4Life2, Yht45xe91 etc  )

Email   *     
          * = Required field.   
  Personal Information 
First Name
Middle Name
Last Name
Suffix
Spouse 's name (if applicable)
Address 1
Address 2
City
State
Zip Code
Phone
Degree
School
Graduated
Speciality:

( More than one may
be selected )









  Other
 
Practice Information 
Practice Name
Address 1
Address 2
City
State
Zip Code
Phone
Fax
 
  Membership Information 
Please indicate Membership Type:       

( More than one may be selected)
         $260.00
     (**includes $10 voluntary legislative donation & $25 PAC contribution)

  For additional members at the practice with the same address. : $220.00
     (**includes $10 voluntary legislative donation & $25 PAC contribution)

  :  $197.00

    : $147.50
     (**includes $10 voluntary legislative donation & $25 PAC contribution)

    : $145.00

    : $125.00

    : $50.00

For Primary Veterinarian, Multi-Veterinarian, and Retired or Non-Resident Members ONLY:
Deduct from Membership fee:




Please indicate additional contributions:      
Make an additional contribution to
Veterinarian's PAC.     
Make an additional contribution to
Legislative Affairs.


May we share your contact information with
your alma mater (check to approve)?

Check here if you DO NOT want the VVMA
to email or fax you association information.

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How did you hear about us?
Who is the Credit Card issued to?

                                                                        



2014 GRADUATES: After you hit 'Submit', you will be asked for payment information. Simply skip this step, as your membership is free for the rest of 2014.

Notes:
  1. Donations to Legislative Affairs are not PAC contributions.
  2. PAC contributions are NOT TAX DEDUCTIBLE.
  3. Dues payments to VVMA are not deductible as charitable contributions for Federal Income Tax purposes.
  4. However, the portion of the dues not attributable to VVMA Legislative Affairs may be tax deductible as ordinary and necessary business expenses.
  5. VVMA estimates that 13% of your 2013 dues are attributable to Legislative Affairs and are not tax deductible for Federal Income Tax purposes.
  6. Voluntary donations for Legislative Affairs are not tax deductible for Federal Income Tax purposes. However, they maybe tax deductible as ordinary and necessary business expenses. Retain this portion of your statement for your 2013 tax filing. Consult your tax advisor.

If you have questions please contact the VVMA Office:
(T) 800-937-8862 (F) 804-346-2655 Email: vvma@aol.com