Become a Member Today

Type of  Annual MembershipMembership Form
Self-Advocate (18+ years old) – $5 annually ASCV Self-Advocate Membership Form
Household – $25 annuallyASCV Household Membership Form 
Lifetime – $1500ASCV Lifetime Membership Form
PayPal or Credit Card

After completing the membership application form, which can be found above, pay your annual dues using PayPal or to pay online with your credit card by clicking here.

If you sign up using PayPal, you can set your membership to auto-renew every year so your membership never expires. You can cancel the auto-renewal at any time.


Print out and complete the PDF version of the appropriate membership form below and mail it to us at the address below, along with a check made payable to ASCV.

ASCV Self-Advocate Membership Form (PDF Version)

ASCV Household Membership Form (PDF Version)

ASCV Lifetime Membership Form (PDF Verison)


Print out and complete the appropriate membership form above. You can scan it and email it to us at [email protected] You can only use this method if you are paying by credit card and have included your credit card information on the form.


Call us at 804-257-0192 to complete your application and provide your credit card information.

                     To learn about our membership scholarships: