VSDC Membership Application

After you complete this form, print and mail it with your check to: VSDC, P.O. Box 4921, Washington DC 20008.

Contact and mailing address Name:
Street:
City: , State: Zipcode:
Day Phone: Evening Phone:
Email:

If this is a gift membership Your name:
Your email or phone number:
Note to those receiving membership:

This is a: renewal membership new membership address correction

Annual dues (select one)

Additional tax-deductible donation (optional): $
Total check enclosed, payable to "VSDC": $

How did you learn of VSDC:

Veg status (optional): vegan (no animal products) vegetarian (no flesh, fish, fowl) neither

Volunteer interests

Publicity	Education	Diversity	Outreach/Tabling
Hosting events	Newsletter	Fundraising	Activities/Events

Other:

Additional comments and information: