VBCOA Membership Form Member Renewal Please Select a Membership Category Only one type of membership can be renewed at a time. VBCOA is comprised of eight regions, find your region. You may pay online with a credit card Payment* Credit Card By Check Please select a membership category:*Active Member - State or Local GovernmentAssociate MemberStudent MemberRetired MemberRegion*Region 1Region 2Region 3Region 4Region 5Region 6Region 7Region 8No RegionName* First Last Title* Name of Locality/Firm* Mailing Address* Address Line 1 Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberFaxPhoneEmail* Active Member - State or Local Government Price: State or local government employee working in administration or enforcement of building codes.Associate Member Price: Associate member of a firm or organization involved in related fields.Retired Member Price: Additional Members Price: Enter Number of Additional Members01234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950Information for additional members*First NameLast NameTitleEmail Please fill in all fields.Student Member Price: Enrolled students of administration or enforcement of building codes or related fields.TotalTotal $0.00 Payment Same as Mailing Address Billing Address* Address Line 1 Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please mail a check in the above amount to the following address: VBCOA PO Box 12164, Richmond, VA 23241 Make the check Payable to VBCOACoupon Credit Card*Card Details Cardholder Name HiddenGLCode CommentsThis field is for validation purposes and should be left unchanged. Δ email facebook twitter linkedin google+