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Online Membership Application
  1. First Name*
    Please let us know your first name.
  2. Last Name*
    Please let us know your last name
  3. Email*
    Please let us know your email address.
  4. Phone*
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  5. Street Address*
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  6. Address Line 2
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  7. City*
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  8. State*
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  9. Zip Code*
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  10. Occupation
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  11. Date of Birth*
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  12. Membership in this Organization is a privilege and is contingent on acceptance by the Board of Trustees. An applicant may be rejected with or without cause. All applicants must tender payment of his/her dues upon approval of his/her application. If an applicant is not accepted, he/she will have their payment refunded. The initial annual dues are due upon approval of membership.
  13. By submitting this form, you agree to abide by and be bound by the principles of the Organization as determined by the Board of Trustees. You also understand and consent that failure to abide by and the principles will result in expulsion from the organization.
  14. *
    Box needs to be checked before submitting application
  15. Membership Fee
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  16. Choose Payment Method
  17. ******************************************* Second Member *******************************************
  18. Last Name
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  19. First Name
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  20. Date of Birth

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  21. Email
    Invalid Email address format
  22. ******************************************* Third Member *******************************************
  23. Last Name
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  24. First Name
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  25. Date of Birth

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  26. Email
    Invalid email address format
  27. ******************************************* Fourth Member *******************************************
  28. Last Name
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  29. First Name
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  30. Date Of Birth

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  31. Email
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  32. ******************************************* Fifth Member *******************************************
  33. Last Name
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  34. First Name
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  35. Date of Birth

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  36. Email
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  37. Total Due
    0 USD
  38. Please take note that your membership is not final until your payment is acknowledged either when you receive a confirmation email from PayPal, or when you have a proof of a cashed check.