Membership Type

Donation Amount*
  • Individual Membership ($30)
  • Family Membership ($40)
  • Organisational Membership ($100)

Here are our account details if you would like to make your payment through direct debit:



Name: VSA

Account number: 03-0518-0176254-00

References: First and Last Name; MEMBERSHIP

 

Contact Information

Country*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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