Please complete a separate registration for each Individual member.
If you are registering as an Organization, please only register the primary contact. All additional direct employees of the member organization will have full access privileges to any and all VENE resources and events, except for the annual conference, which will require an additional fee of $15 per attendee.
Please note that registration is based on the school calendar and runs from September 1st through August 31st, regardless of date registration is submitted.
All items designated with an asterix ( * ) are required information.

* Salutation: Mr. Ms. Mrs. Dr.
* First Name:
* Last Name:

* Membership Categories: 1 Year - $50 Annual Membership with either Spring or Fall Conference Admission 1 Year - $125 Annual Membership for 3+ Registrants from Same Organization Students - $15 Admission to conference with boxed lunch
* Educational or Business Affiliation:
* Street Address:
* Town/City:
* State (Country if not U.S.A):
* Zip Code:
* Phone:
   Ext.:
   Fax:
* Email:
   Cell/Secondary Phone: