Update Membership Information Old

Online Application

Please complete the form below to update your Virginia Professional Educators membership information. Your changes will not be processed until the Submit button is clicked. Required fields are marked with an *.

You may also call us at 1-888-873-9661.

Name*
First Middle Initial Last
Address
Street Address Address Line 2 City State ZIP Code
Home/Preferred Phone Number
Personal Email*
School Email
School
School District*
Other School District
Position
Subject Area
Payment Method
- Credit Card
- Checking Account
- Automatic Payroll Deduction
Credit/Debit Card Information
Name (as it appears on card)*
Billing Address
- Same as mailing address
Different Billing Address*
Street Address Address Line 2 City State ZIP Code
Card Number*
Expiraton Date*
CVV*
Banking Information
Billing Address
- Same as mailing address
Different Billing Address*
Street Address Address Line 2 City State ZIP Code
Routing Number*
Account Number*
Automatic Payroll Deduction
Automatic Payroll Deduction is currently not available for your school district. Please choose another payment method.
Upon submission of this application, you will be directed to a Payroll Deduction Authorization form. You will need to complete and submit the authorization form before your membership can be processed.
Comments
This field is for validation purposes and should be left unchanged.

Update Membership Information Old

Online Application

Credit/Debit Card Information

Banking Information

Automatic Payroll Deduction

Membership Assistance & Support

Legislative & Government Relations