VLGMA Membership Form

Membership Type*
- Member - Enter Salary and Deferred Compensation below
- Small Locality ($185 annually)
- New-to-VLGMA/Virginia Managers, Deputies, Assistants (introductory dues waiver)*
- Life Member (No dues assessed)
- Associate Member ($175 annually)
- Affiliate Member ($75 annually)
- Retired Member ($50 annually)
- Members in Transition (dues waived first year; affiliate level following)
- Student Member ($50 annually)
- Standard Agency Membership ($1,125 annually)
- Large Agency Membership ($2,050 annually)
- NACA Membership Only - See NACA Section Below
Is your title?*
- -City or Town Manager or Administrator; Deputy or Assistant Manager or Administrator/ Assistant to the Manager or Administrator
- -County Administrator or County Executive/Deputy Administrator or Executive/Assistant Administrator or Executive/Assistant to the Administrator or Executive
The New-to-VLGMA/Virginia Managers, Deputies, Assistants (introductory dues waiver) is not available for you.
Annual Salary*
Deferred Compensation*
Enter your annual deferred compensation for dues computation.
Computed Dues Amount
Price: $0.00
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Dues
Hidden Dues for conditional logic
Min Calculated Dues
Minimum $225 / Maximum $525
Price:
Max Calculated Dues
Price:
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County Member?
Are you a county member?*
Are you a county member?
- Yes
- No
NACA Membership
NACA Member (COUNTY MEMBERS ONLY )*
VLGMA participates in the Block Membership option offered by the National Association of County Administrators (NACA). NACA is an affiliate of ICMA and the National Association of Counties (NACo). NACA is a professional association of county administrators (as well as deputy, assistant County Administrators, and any county staff, regardless of title, who are directly responsible to the governing body or elected chief executive and whose duties are primarily devoted to general administration or management of county services).

State associations such as VLGMA can opt into the block membership category, which allows members to join NACA at a reduced membership rate of $50 per person. You do not need to be an ICMA member to join NACA, but of course that is highly encouraged. You do need to be a VLGMA member to take advantage of the block membership rate. Under block membership, if you already are a member of NACA, VLGMA will note that on your annual dues invoice and you will pay your $50 NACA dues along with your VLGMA dues. You can find more information about NACA here https://icma.org/naca/membership-categories

Do you want to join the National Association of County Administrators (NACA)?
- Include NACA membership
- I do not wish to be a NACA member
- I am already a VLGMA member; only need to add NACA Membership
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ERROR!

You must be a county member to choose the membership option "NACA Membership Only".
Please correct your selections.
Standard Agency and Large Agency Memberships must select the number of additional Standard members to be able to add their names in addition to the registrant's name.
Choose the Number of Additional Standard Agency Members*
Membership for up to 5 individuals (includes individuals who qualify for the MEMBER and ASSOCIATE membership categories as well as Interns). This number is in addition to the primary member.
Choose the Number of Additional Large Agency Members*
Membership for up to 10 individuals (includes individuals who qualify for the MEMBER and ASSOCIATE membership categories as well as Interns). This number is in addition to the primary member.
Registrant Details
Name*
First Last
Job Title
Organization Name*
Retirees and students can enter “retired” or “student”
Planning District
Please click this link to view the current planning districts: PDC Map
Work Address
Street Address Address Line 2 City State ZIP Code
Work Phone
Work Fax
Work Email
Personal Contact Information
Not required but useful in the event that a member has a status change
Personal Email
Personal Phone
Home Address
Street Address Address Line 2 City State ZIP Code
Primary Registrant Membership Category*
Additional Standard Members*
Please fill in all fields.
- "M" (Member)
- "A" (Associate Member)
- "I" (Intern)
First Name Last Name Title Work Email Work Phone Personal Email Membership Category
Additional Large Agency Members*
Please fill in all fields.
- "M" (Member)
- "A" (Associate Member)
- "I" (Intern)
First Name Last Name Title Work Email Work Phone Personal Email Membership Category
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Hidden Total
Used for conditional logic
Payment
Subtotal
$0.00
Credit Card Fee
2.9% plus 30 cents Calculated {(subtotal+.30)/1- .029}
Price: $0.00
Payment*
- Credit Card
- Check
- No Payment Due - Zero Balance
Billing Email*
The email address where the receipt should be sent
- Billing Address same as Work Address
- Billing Address same as Personal Address
Billing Address*
Street Address Address Line 2 City State ZIP Code
Total
$0.00
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Check Number
Hidden
Date Check Was Entered
Enter the date you are entering the check number
Month
Day
Year
Credit Card
Card Details
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

First Name	Last Name	Title	Work Email	Work Phone	Personal Email	Membership Category

First Name	Last Name	Title	Work Email	Work Phone	Personal Email	Membership Category

County Member?

NACA Membership

Registrant Details

Personal Contact Information

Payment