VASS RETIRED SUPERINTENDENT
MEMBERSHIP REGISTRATION

 


GENERAL INFORMATION

Thank you for taking the time to fill out this registration.

The information that you provide will enable VASS to serve you more efficiently.

If you wish to serve VASS either as a volunteer or as a “Fee for Service Consultant,” please be sure to complete the information on your areas of expertise and interest in the registration form below.

Mistakes made in filling out the registration will be highlighted in RED.

Once you have filled out the registration completely, you will see an on-screen message thanking you for your submission, and the person whom you have designated to receive a confirmation email should see that email (with registration entries included) within 24 hours.

 

PAYMENT

Pre-Payment is not required. However, if you would like to pay now by credit card or through a PayPal account, you will be given an opportunity to do so below.

If payment is not made by credit card or PayPal account at registration, the person whom you identify below as the Billing Contact will be sent an invoice for payment of your membership fee of $100.00.


This fee covers your membership until June 30, 2018.

 

Thank you for your continued support of VASS.

Please do not hesitate to contact me with any questions, concerns, or suggestions.

Liza Scallet
VASS Administrative Assistant
l.scallet@vassonline.org


* REQUIRED

RETIRED SUPERINTENDENT INFORMATION

RETIRED SUPERINTENDENT - AREAS OF EXPERTISE

CHECK ALL THAT APPLY OR CHECK "NOT INTERESTED IN PROVIDING INFORMATION"

BILLING CONTACT INFORMATION

Please provide information on the person to whom the invoice for membership dues should be sent.

PAYMENT