Individual Membership Application – Pay by Credit Card

Please complete the form below to pay your individual membership with a credit card.


Individual Membership Application Form (pay by credit card)

  • By providing your email address you are consenting to be on our email list to receive: Bulletins; Seminar & Workshop notices; General and Legislative Updates etc. You may withdraw your consent at any time by contacting VISOA or clicking unsubscribe.
  • MM slash DD slash YYYY
  • 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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