VICA Membership Check Payment & Information Form
VICA uses this information for communication and planning purposes only. Contact information is never shared outside of VICA.
Please provide as much information as possible so that we may develop programs that are of interest to you. Enter your membership information first and then complete the remainder of the form.
Click on the "Submit Form" button at the end to send the form. Send your check payment to:
VICA, P.O. Box 4054, Burlington VT 05406-4054
Membership & Contributions
Please select your category of membership. You can also contribute to VICA's Scholarship and Grants Fund or help support our operations with an additional donation if you desire. Or you can contribute to VICA without becoming a member.
Please send a check for the total amount to VICA, P.O Box 4054, Burlington, VT 05406-4054