VIADC New Student Membership
Complete this form only if you are joining VIADC as a student member for the first time.
Proof of student status required.
Email address *
Last Name *
First Name *
Birth Month *
New Membership Type *
Required
T-Shirt Size *
What degree are you pursuing? *
Required
Major of Study
School Name *
Projected Graduation Date *
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Home Address *
City *
State *
Zip Code *
Mobile Number *
Which proof of student status document will you be submitting? *
Proof of Student Status Document
Application Submission Date *
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YYYY
THANK YOU!
Annual dues are valid for 12-months, renewable annually on January 1 (annual membership period is January 1 to December 31). Membership dues may be safely and securely paid at the VIADC website www.viadc.org under the Membership tab, OR a check/money order may be made payable and mailed with the completed application form to Virgin Islands Association,1629 K St, NW, Ste. 300, Washington, DC 20006.
A copy of your responses will be emailed to the address you provided.
Submit
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