VSSA Lifetime Membership Application
This form should be used by individuals who are interested in becoming a "Lifetime Member" of the Virginia Social Science Association.

The cost of a Lifetime Membership is $300.

This level of membership comes with the following benefits:
- Free attendance to all future annual conferences

Applicants will receive an auto-generated receipt in their email that confirms the successful submission of this form.

To pay your one-time $300 fee, please visit the VSSA website and register for this year's conference by selecting the New Lifetime Members ticketing option. Your application as a Lifetime Member will be reviewed & formally approved upon receipt of that payment.

If you wish to pay your one-time fee in another manner, please reach out to VSSA Leadership at virginiasocialscience@gmail.com
Email address *
Title & Full Name: *
Affiliated Institution (if unaffiliated put N/A): *
Mailing address: *
Phone number: *
A copy of your responses will be emailed to the address you provided.
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