Membership Response Form | Virginia Alliance for Animal Shelters

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 *

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. *

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:

My organization is not open access. *

Math question * 11 + 5 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.