VSA Membership Application Form Form

Please fill out this form and we will contact you for
the $7 application fee. Thanks for supporting VSA

Last Name:
First Name :
Address:
Phone Number:	- -
Email Address:
Birth Date:
Class Standing :
Major (s):
Hobbies/Interests:
Which day and time would you be convenient to attend our meetings?	Thursday Friday Saturday
Other Comments :

*Please make sure you see "Successful Application" after you hit submit.