Join the Virginia Transit Association

 

VTA Membership Application

To apply for membership, print and complete the form below, then return to the Virginia Transit Association.

Membership Application

_____ Member -- Public Transit Systems (call the VTA office for dues amount)
_____ Business Member ($1000)
_____ Associate Member – Human Service Operator ($500)
_____ Associate Member – Other; Organization ($100)
_____ Associate Member – Other; Individual ($50)

 

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Organization Name: ________________________________________________________________
Principal Representative: ________________________________________________________________
Title of Representative: ________________________________________________________________
Mailing Address: ________________________________________________________________
  ________________________________________________________________
E-mail Address: ________________________________________________________________
Organization Web Site: ________________________________________________________________
Telephone: ____________________________  
FAX: ____________________________  
Brief Description of Organization: ________________________________________________________________
  ________________________________________________________________
  ________________________________________________________________
___________________________________________________ ____________________________
Signature of Applicant Date
   

 

Return to:

Virginia Transit Association
1108 East Main Street, Suite 1108
Richmond, Virginia 23219