General VAA Payments Form

Pay for books, VAA Fees and other outstanding VAA monies

"*" indicates required fields

Your Name*

First Last

Your Email*

Payment for:*

Please enter the payment details*

Examples:
Astrology book: Name of book & author
Payment of [X] fee

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Amount to be paid*

Credit Card*

Card Details

Cardholder Name

Total