2021 Membership Renewal Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Mailing Address: *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of Birth: *Donation Type: *IndividualFamilyBusinessBusiness Name: *How Many Additional Family Members Are you Adding to Your Membership? *1234If more than four, add information in bottom message/notes boxOnly the Primary Member Receives Primary Swag Items. All Family Members Receive a VVMTA StickerFamily Member Name #1: *FirstLastFamily Member Email #1: *Date of Birth #1: *Relationship #1: *Spouse/PartnerChildFamily Member Name #2: *FirstLastFamily Member Email #2: *Date of Birth #2: *Relationship #2: *Spouse/PartnerChildFamily Member Name #3: *FirstLastFamily Member Email #3: *Date of Birth #3: *Relationship #3: *Spouse/PartnerChildFamily Member Name #4: *FirstLastFamily Member Email #4: *Date of Birth #4: *Relationship #4: *Spouse/PartnerChildComment or MessageSubmit