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
Thank you!