Life Member Update Details

Memberships

Membership Number (if known)

First Name

Last Name

Preferred Name (If applicable)

Current Employer or Retired

Current Job Title or N/A

Membership Type

Life Member (Membership category awarded by the VMBSG Members - no fee applicable)

Building Practitioner Number ( if applicable)

Student No. (if applicable)

Primary Email Address

Secondary Email Address (different to primary email in case your primary one changes)

Postal Address

City

State

ZIP Code

Contact Phone 1

Contact Phone 2

Are you currently under investigation by the VBA or the Building Practitioner Board?

Yes No Provide Detail (using box below)

Have you been subject to disciplinary action by the VBA within the past 12 months?

Yes No Provide Detail (using box below)

Have you been subject to disciplinary action by the Building Practitioners Board within the past 12 months?

Yes No Provide Detail (using box below)

I understand that I must advise the VMBSG committee regarding any disciplinary actions or deregistration.

I understand that membership of the VMBSG is contingent upon my adherence to the rules imposed by the association.