HAMPTON ROADS MARITIME ASSOCIATION by IB4Qiw0

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									           VIRGINIA MARITIME ASSOCIATION
                                      P.O. Box 3487
                                  Norfolk, Virginia 23514
                                      757-622-2639
                                    FAX 757-622-6302
                                vma@portofhamptonroads.com
                                www.portofhamptonroads.com

                     Leading the Port of Hampton Roads
The Virginia Maritime Association is the premier organization dedicated to protecting
and advancing maritime trade in Hampton Roads. Founded in 1920 to develop the Port
and promote shipping interests in Hampton Roads, the Association’s goals include:

        Encouraging efficiencies, enhancements and planning through VMA’s
         diversified committee structure.
        Coordinating liaison to the public and all levels of government, presenting and
         advocating the Port.
        Educating the maritime community on port issues through events and
         publications and information bulletins.
        Fostering stronger growth of the Port of Hampton Roads.

The VMA represents 400 member companies from all aspects of the maritime-related
business community. With room to strengthen and influence this network, the
Association encourages you to join today.

                             Benefits of Membership
 VMA Publications
              Vessel Traffic Information
              Electronic Information Notices
              Monthly Maritime Bulletin
              Membership Roster
              Port Telephone Directory
              Port of Hampton Roads Annual
 Activities
              Annual Maritime Banquet
              International Trade Symposium
              Chesapeake Bay Feast
              Breakfast Briefings
              Golf Outings
              Other networking opportunities
 Members-Only Benefits and Discounts
              IT / Network Support Services
              Recruiting & Staffing
              Lodging
              Entertainment
              Health Insurance
              Dental Insurance
              Retirement Solutions
               VIRGINIA MARITIME ASSOCIATION
                                         P.O. Box 3487
                                     Norfolk, Virginia 23514
                                          757-622-2639
                                       FAX 757-622-6302
                                   vma@portofhamptonroads.com
                                   www.portofhamptonroads.com


                             Questionnaire of Membership
The undersigned hereby makes an application for membership in the Virginia Maritime
Association, Incorporated and agrees to pay annual membership dues based on the criteria listed
below.

Company Name __________________________________________________________
Applicant (Last, First MI) __________________________________________________
Title ___________________________________________________________________
Business Address _________________________________________________________
City, State and Zip ________________________________________________________
Phone _________________________________ Fax _____________________________
Email __________________________________________________________________
Website Address _________________________________________________________
Type of Business _________________________________________________________
Number of Employees in Virginia ____________________________________________


VMA’s Membership Committee will determine annual dues based upon the following criteria:
 Non Maritime Related or Non Profit Organization: $250.00
 Involved in Moving Cargo or Offering Maritime Related Services: $500.00
 Involved in Vessel or Marine Terminal Operations: $750.00
 Additional representation available for $250.00 each


Initial payment of annual membership dues is required before applicant can become a
member.
       _____ Would like to receive more information before joining the VMA.
       _____ Would like a personal visit from a VMA representative.


       Recommended by (list members):       _________________________
Date of Election by the Membership Committee (Office Use Only) _________________
Date of Election by the VMA Board of Directors (Office Use Only) _________________
                                                                                               For Accounting Purposes Only


Charge Card Authorization                                                                      Invoice No. _________________

                                                                                                  Invoiced

                                                                                                  Payment Application

                                                                                                  Processed by :__________




Please charge my:            American Express                     Mastercard                  Visa

                   Please indicate whether the card is a :                   Debit             Credit

In the amount of $ _________ for

 Annual Membership Dues

 Event – _________________________________________________

 Other - _________________________________________________




Cardholder name (as printed on card): ________________________________________


Company Name:__________________________________________


Card Number: ______________________________ Expiration date: ____________

Security Code : _______________
(3 digit number on the reverse side of the card usually in the signature line or AMEXP 4 digit number on
 front of card in the upper left corner)


Billing address ________________________________________________________


Signature of Cardholder: _______________________________________________


Phone number to contact cardholder (in case of questions) : ______________


Please mail receipt:                            Mail to:

                                                           Member ID:________________
   Yes

   No                                          OR Below Address:

                                                ________________________________
                                                            Address
                                                _______________   ____ __________
                                                       City           St.      Zip

								
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