VLM | Annual Fund Form

Have Fun!

Hours!

Mon-Sat: 9am-5pm
Sun: Noon-5pm

Phone
757-595-1900

TEXT Messages
subscribe here

Get Directions to VLM

Mailing List

Get the latest news and specials.
Name
Email

Virginia Living Museum
Individual Annual Fund Donation/Premium Memberships

Instructions:

Please fill out the secure form below. We accept Visa, Mastercard & Discover cards or click here for a printable form that can be mailed with your check.

Please allow 1 week for processing. A membership packet including membership cards and planetarium vouchers, will be mailed to the address provided within two weeks. If you will be visiting soon, your membership can be verified at the Admission Desk by presenting the email receipt and photo ID.

Questions? development@thevlm.org

Information about premium membership benefits.

Membership FAQs

Become a VLM Premium Member Today!

*Type of Membership:
Select a Premium level.
*Premium Membership (All 1 year):
Additional Donation Amount:
1st Adult Member's Name: (Please put name as it should appear on membership card)
Prefix:
*First Name:
Middle Name:
*Last Name:
	This member is a Minor (for individual level)
Date of Birth (for minor members only) xx/xx/xx:
2nd Adult Member's Name (not for Individual Memberships):
Prefix:
First Name:
Middle Name:
Last Name:

Home Address:
*Street Address:
*City:
*State:
*Zip:
*Home Phone (xxx-xxx-xxxx):
Work Phone (xxx-xxx-xxxx):
*Email Address:

The VLM respects your privacy and does not share your email with 3rd parties.
*Number in Household:
Please list dependent children:
Name:
Date of Birth (xx/xx/xx):
Name:
Date of Birth (xx/xx/xx):
Name:
Date of Birth (xx/xx/xx):
Name:
Date of Birth (xx/xx/xx):
Children ages 3-12 will be registered for the Birthday Club

Gift Membership purchased by:
Prefix:
First Name:
Middle Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone (including area code):
Work Phone (including area code):
Email Address:
Send membership packet to:
Send renewal notice to:
Special Instructions: