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Membership Level change

You have selected the New Member Application membership level.

The price for membership is $50.00 now.

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About You

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Professional Information

Briefly describe your current position.

i.e. https://www.myurl.com

i.e. Street Address, City, State, Postal Code

i.e. 999-999-9999

 
 
 
 

i.e. https://www.linkedin.com/in/your-name-728936287/

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Community Service Engagement

Please list at least one organization you currently volunteer with and indicate your role in each.

Volunteer Organization 1
i.e. 2012-2015

Volunteer Organization 1
Describe your volunteer and/or leadership role (committee, board, volunteer, etc.)

Volunteer Organization 2
i.e. 2012-2015

Volunteer Organization 2
Describe your volunteer and/or leadership role (committee, board, volunteer, etc.)

Volunteer Organization 3
i.e. 2012-2015

Volunteer Organization 3
Describe your volunteer and/or leadership role (committee, board, volunteer, etc.)

Volunteer Organization 4
i.e. 2012-2015

Volunteer Organization 4
Describe your volunteer and/or leadership role (committee, board, volunteer, etc.)


Additional Application Information

Only visible by other members.

 
 

Billing Address


Payment Information We Accept Visa, Mastercard, American Express, and Discover

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