Clone of VHAMSEA Membership 2025-2026 Registration Form.

VAHAMSEA Membership Registration

Complete the form below and select Payment 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.
*This Email is to be used for an INVOICE only payment - to school accountant:
example@example.com
CREDIT CARD Payments

CLICK on the box only to for the 2026-2027 Year Membership with a CARD

Starts August 01, 2026 -July 31, 2027

$40.00

Total

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 to increase if necessary.
If paying by check, mail check to:

Virginia Medlin, Treasuer

2716 St. Charles Ave.

Virginia Beach, VA 23456

Please, mail the check within 45 days of registering - Don't Forget

*If being invoiced by a school divsion - payment is due within 45 days or invoice will be cancelled.
Thank you!

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