Keystone Member Sign Up

THANK YOU FOR AGREEING TO BE A KEYSTONE MEMBER AND BECOMING A CHAMPION IN THE FIGHT TO SAVE VAPOR!

Please fill out the form below to complete your application and pay your membership dues.

Any questions?   info@vaportechnology.org

Price:

$1,000 for access until December 31, 2021

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

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City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Company Name:* Company Name is Required

Business Description:* Business Description is Required

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Cell Phone #:* Cell Phone # is Required

KEYSTONE MEMBERSHIP ELECTION: I have read the membership descriptions on the VTA Membership Classes form and offer this application for membership which, I understand, is being reviewed subject to VTA by-laws, rules and policies. If approved, please enroll my company as a Keystone Member of VTA at the level of $1000. I understand that our payment would apply to this calendar year. :* KEYSTONE MEMBERSHIP ELECTION: I have read the membership descriptions on the VTA Membership Classes form and offer this application for membership which, I understand, is being reviewed subject to VTA by-laws, rules and policies. If approved, please enroll my company as a Keystone Member of VTA at the level of $1000. I understand that our payment would apply to this calendar year. is Required

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