VAST :: Form - Membership

Please register below to become a member of the Virginia Association of Science Teachers. Members get free admission to the Science Museum of Virginia and the Virginia Museum of Natural History, and regular issues of the VAST newsletter, "The Science Educator".
*(fields marked with required)**

*Member Status:	New Member Renewing Member

*First Name:
*Last Name:
*Home Phone:
*Email Address:
*Home Address:
*City:
*State:	*Zip:

*Region (see map):
*School District (city/county/private) or Company:
*School Name:
*Are you a Point-of-Contact (BaP) for your school?	Yes No
*Level:
*Specialty/Certification (select all applicable):

VAST Membership Form