Name of Organization * Contact Name * Title * Address * City * State * Zip * Direct Phone or Cell Number * Email Address * Website What problem/issue most impacts your organization? What training would you find most helpful? How could your shelter colleague’s best support/assist you? I would like to become a member of VAAS * - Select -YesNoNot NowNeed More Info If you check Yes or Need more information to the question above, a member of VAAS will contact you to discuss how to proceed. Please provide good days or times of the day to reach you. I certify that my organization is an open access shelter or a municipal/public pound or shelter. * - Select -YesNo My organization is not open access, but I would like to join as an associate member and my sponsor’s name is: My organization is outside of Virginia, but I would like to join as an affiliate member and my sponsor’s name is: I would like to join, but do not have a sponsor. - None -YesNo My organization is not open access. * - Select -YesNo Math question * 11 + 5 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.