* 2012 Annual Partner Program Outline - Click HERE *
VMBA Annual Partnership Enrollment Form
Your name:
Company name &
mailing address:
Your email address:
Your website address:
Your phone number:
Comments:
NOTE LEVEL OF ANNUAL PARTNERSHIP - $3,300 Platinum, $2,250 Diamond, $1,200 Gold, $500 Silver.
Terms and Conditions: Partnership is valid from January 1, 201
2
through 12/31/201
2
. Company
herein represented agrees to Partnership benefits outlined in the 201
2
VMBA Annual Partnership
program and agrees to timely payment according to Partnership level selected.
Invoice will be mailed if you wish to pay with check (preferred method)
.
Click link below to pay by credit card now
Platinum
Diamond
Gold
Silver