VLA Membership Form

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VLA Membership Form

Email *

Title *

First Name *

Surname *

Postal address line 1

(not necessarily leased building address)

Postal address line 2 *

Postal address line 3

Postal address town *

Postal address postcode

Mobile Number *

Landline/Alternative Mobile Number

Membership Category:

Please select from

Individual: one person owning one leased building.

Group (leader): More than 1 person &/or more than 1 building, member responsible for VLA subscriptions.

Group (ordinary): Group member not responsible for VLA subs

If group membership please state the name of the group?

If individual please ignore this question

If group membership are you the

( Ignore this if individual member)

Lead member of group (responsible for VLA subscription payments

Clear selection

If ordinary group member what is the name of your group's lead member

(Ignore this if individual member)

If applying for membership (rather than renewing) please give a brief description of your current landlord status: number of buildings, tenant's name etc. Please only give publicly available information, do NOT give confidential information such as rent or length of lease.

If applying for individual membership or as a group leader how many leases do you hold today for veterinary buildings. Do not answer if applying for group ordinary membership and do not include any residential onlt buildings

The VLA never shares information on individual or group members with any outside organisation but may share the results of member surveys where that is considered in the interests of members or the association. Please consent to the below statement.
*

I consent to the Constitution and confidentiality of the VLA.

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