Donate

You can donate to the Legislative Fund, which allows our representatives to go to Lobby on behalf of all VA Physician Assistants. **Please note that these are NOT tax deductible

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Donation

* Mandatory fields

*First name

*Last name

*Organization

*EMail

THIS CAN NOT BE YOUR GOVERNMENT EMAIL ADDRESS

*Phone

*Work Address Line 1

Work Address Line 2

*Work Address City

*Work State/Province

*Work Postal Code

Work Email

*Home Address Line 1

Home Address Line 2

*Home City

*Home State/Province

*Home Postal Code

*Work Phone

Fax Number

Last Four Digits of SSN

This is only needed for Payroll Deduction

AAPA Member

AAPA Member Number

*Amount ($USD)

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VAPAA
320 Thames St, PO Box 355
Newport, RI 02840
vapaaexecutivedirector@gmail.com

VAPAA is a 501(c)3 non-profit organization.