Organization Member

Join as an Organization

When your organization donates, you become a member of The Arc of Virginia, supporting the A Life Like Yours (ALLY) movement for people with intellectual and developmental disabilities.

Organizational Membership Levels:

Ally - $250.00
Supporter - $500.00
Leader - $1000.00
Partner - $2500.00
Champion - $5000.00

Please fill this out with the name and contact info of the organization.

$250

$500

$1,000

$2,500

$5,000

$10,000

Other

Your information

First name

Last name

Phone

Country

Street address

Apt, suite, etc.

City

State

Zip code

Street address

Apt, suite, etc.

City

Province

Postal code

Street address

Apt, suite, etc.

City/Suburb

Postal code

State/territory

Street address

Apt, suite, etc.

City

Postal code

Building number and street name

Address 2

City

Postcode

Street and building number

Apt, suite, etc.

Postal code

City

Province

Street address

Apartment, suite, etc.

Postal code

City

Street and building number

Apt, suite, etc.

Postal code

City

Street address

Apt, suite, etc.

Postal code

City

State/region

Employer

Occupation

Law requires we ask for your employer and occupation. If you don’t have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Contributions are tax deductible.

Payment details

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paid annually