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Membership Dues

Membership Type

Individual $50 Affiliate Chapter $300

Automatically renew my membership each yearRenews annually until canceled.

Your Information

First Name* Last Name*

Email*

Phone* State or Territory*

Affiliate Chapter (optional)

Chapter Information Affiliate Chapter* Chapter Name*

Contact First Name* Contact Last Name*

Title or Role (optional) Phone*

Contact Email*

Add a Donation (optional)

Would you like to add a donation as well?

None $25 $50 $100 $250 Other

Enter custom amount* $

Donation frequency

One-time Annually with my renewal

Individual Membership Dues $50

Donation $0

Total $50

Payment

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At a Glance