Organization > Chapters > Great Lakes > Join the Chapter
Membership Form
The 2012 membership form is for the calendar year.
Please select one of the following membership levels:
- Regular ($15)_____
- Retired/Unemployed** ($10)____
- Student ($5)_____
(**Unemployed level only available for one year.)
Checks should be made payable to the VRA Great Lakes Chapter and sent to:
Astrid Otey, Treasurer
School of Fine Arts
130 Art Building
Miami University
Oxford, OH 45056
Name ______________________________________________________________
Department _________________________________________________________
Institution __________________________________________________________
Address 1 __________________________________________________________
Address 2 __________________________________________________________
City, State, Zip ______________________________________________________
Office Phone ________________________________________________________
E-Mail _____________________________________________________________
I would like to contribute to the VRA Great Lakes Chapter Travel Fund. Please accept my donation of $______________.
Thank you for your participation in the VRA Great Lakes Chapter.
Please print out this form and mail it along with your 2012 membership dues to Astrid Otey at the address above.

