Membership Application

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Membership Application

Complete and pay online below

Download the Membership Application Form

and mail in with your check payment to

VAPSS, PO Box 97, Maurertown, VA 22644

Membership Application Form

Number of members applying or renewing on this application (please include additional names at bottom of form)

Member First name

Member Last name

Company

Work Phone

Street Address

Street Address Line 2

Cell Phone

City

Region/State/Province

Postal / Zip code

Specialties:

General Practice (PSS)

OSE

Wetlands

E&S

Stormwater

Geology/Hydrogeology

Nutrient Management

Regulatory

Academic/Teaching

Student

County(s) or region(s) where you work?

Please select which committees you may be interested in joining:

Membership

Public Relations & Education

Ethics

Budget & Finance

Technical Advisory

Newsletter

Membership Type:

Regular - A person interested in the purposes and objectives of VAPSS and receiving approval by majority of the Board. Eligible to vote. There are separate requirements for holding office. Dues are $100/year.

Government Employees - available to individuals employed by Federal, State, or Local governments. Dues are $40/year.

Student - a person pursuing a college degree in soil science or related field. May not vote or hold office. Dues are $10/year.

Are there any specific topics you would like to see covered at a future training or conference? We want to hear about it! Please describe your topic of interest below.

Comments/Notes - Additional Member Names

Members who have unpaid dues on May 30 of each calendar year will be removed from the membership list and must reapply for membership.

vapss@vapss.org

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