Virginia Association of Driver Education and Traffic Safety

CORPORATE MEMBERSHIP APPLICATION

NAME OF CORPORATION_______________________________________________________

Contact Representative________________________________________________________

ADDRESS____________________________________________________________________

CITY_________________________ STATE______ ZIP____________

WORK PHONE (____) __________________________

HOME PHONE (_____) __________________________

E-MAIL _______________________________________

FAX NUMBER __________________________________  

Membership is $ 150  annually.

  Membership dues will enable you to advertise in our Newsletter which is distributed twice per year (February and September)  you will also be able to participate in our annual state conference held in October of each year and given the opportunity to set up an exhibit.

  Please send check made payable to:        VADETS

                                                                        C/o  Joanne Carr Burruss

                                                                        3783 Carr Lane

                                                                        Hayes, VA 23072