Add/Remove VLGMA Organization Member

VLGMA offers local governments two categories or organizational membership: standard (up to 5 individuals) and large (up to 10 individuals). If an organization has not used up their allotment of memberships, this form will allow additional qualified individuals to be added. If a member leaves an organization, that slot may be filled by a by annother qualified member.
Is an existing organizational member being replaced?
- Yes
- No
Full name of member that is being replaced by a new member below.
Member to be added to existing organization membership
Name*
First Last
Phone*
Job Title*
Email*
Work Address*
Street Address Address Line 2 City State ZIP Code
Planning District*
Please click this link to view the current planning districts: PDC Map
Personal Contact Information
Not required but useful in the event that a member has a status change
Personal Email Address
Personal Phone Number
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Comments
This field is for validation purposes and should be left unchanged.

Member to be added to existing organization membership

No items found.