VPMIA
Strength Through Leadership, Education, and Unity Since 1962
Virginia Plumbing & Mechanical
Inspectors Association
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Registration Form
Registration Type:
Name:
Firm/Jurisdiction:
Title/Position:
Address:
City:
State:
Zip:
Email:
Phone Number:
Membership Status:
Payment Type:
Spouse/Partner Name:
(
if applicable
)
Special Needs:
(
including dietary restrictions)
Check Number:
(
if applicable
)
Please review items above and click SUBMIT to continue to payment.
Please select
Full Registration for Members ($325)
Full Registeration for Non-Members ($370)
Spouse/Partner of Member/Non-Member ($160)
Retired Active/LIfetime Members ($160)
Retired Active/Lifetime Member & Spouse/Partner ($300 Couple)
Single Day for Members ($100 Lunch included)
Single Day for Non-Members ($145 Lunch included)
Thursday Reception and Banquet Dinner ($50)
Please select
Active
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Lifetime Member
Not a member
Please select
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Check the meals you plan to attend.
Wednesday, April 3rd Lunch
Wednesday, April 3rd Dinner
Thursday, April 4th Lunch
Thursday, April 4th Banquet Dinner
Friday, April 5th Breakfast
Check dietary restrictions.
None
Vegetarian
Vegan
Gluten Free
Nuts
Other, please specify in "Special Needs" box above
