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*Select one membership category:
*Company:
*Address: *City: *State/Province *Zip/Postal Code *Country
*Phone:
*Name of Principal Representative:
*Email:
*Billing Contact Information:
Company Name (exactly as it should appear on the VSF website and other VSF materials):
Company Website (if applicable):
Company Logo:Email an EPS, PNG or other high-resolution file to Tina Lipscomb
Payment Method:You will be invoiced for membership dues.
Applicant Authorization:
By submitting this application, the applicant acknowledges and agrees that, when accepted by VSF, this application represents a binding contract between the parties. More specifically, by clicking the "Accept" button, the Applicant:
* Indicates required fields.