Payment Of:
A check for $ 20.00 (made payable to VA VT/SSW
Assn.), annual membership dues should be given
to your regional treasurer along with the above
completed form. The membership year runs from
July 1 through June 30. A check received any
time during this period will be considered as
membership for that year. (For example, a
membership begun June 1, 2001 will expire June
30, 2002.
Please reproduce this form as needed.)
Regional and State
VAVTSSW Membership Form Southwest [Word]
VAVTSSW Membership Form Richmond [Word]
VAVTSSW Membership Form Central [Word]
VAVTSSW Membership Form Roanoke [Word]
VAVTSSW Membership Form Valley [Word]
Complete forms legibly and mail or fax to:
Rhonda Monroe, VT/SSW Membership Chair
Campbell County Public Schools
194 Dennis Riddle Drive
Rustburg, Virginia 24588
(434) 821-3967
Fax: (434) 821-2808
