Corporate Membership Application – Pay by Credit Card

Please complete the application form below then click on “Submit” to access PayPal and pay using your credit card.

Membership Fee: $6.50 per unit to a minimum of $60.00 and a maximum of $500.00 per year (includes email Bulletins).

Corporate Application Form - Pay by Credit Card

  • NameUnit NumberPhone NumberEmail Address
  • NameUnit NumberPhone NumberEmail Address
  • NameUnit NumberPhone NumberEmail Address
  • NameUnit NumberPhone NumberEmail Address
  • By providing email addresses, all of the persons above are consenting to be on our email list to receive: Bulletins; Seminar & Workshop notices; General and Legislative Updates etc. Each person may withdraw their consent at any time by contacting VISOA or clicking unsubscribe.
  • MM slash DD slash YYYY
  • To Pay by Credit Card (PayPal)

    Determine the annual membership fee then enter that amount in the Annual Fees Box below.
  • To submit this form and pay by credit card

    1. Make sure all mandatory fields are filled in.
    2. Click on the submit button to bring up the PayPal form. You can pay with your credit card by selecting the “Pay with a credit card or Visa Debit card” option.
    3. As soon as you click on the submit button a copy of this application form will be sent to the email address provided above
    4. PayPal will email you confirmation of payment
    5. VISOA will send an email to advise you when your application has been processed.
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