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Membership Application
Primary Member
*Name
*Title
*Organization
*Street Address
Address 2
*City
*State/Province
*Zip/Postal Code
*Work Phone
Fax
*Email
*Required Fields
Additional Company Members
Additional Name #1
Email
Additional Name #2
Email
Additional Name #3
Email
Additional Name #4
Email
Company Type
 End-User Organization
 Consultant Organization
 Vendor Organization
 Student/Academic
Membership Type
 End-User - National Member ($100)
 End-User - Not a National Member ($150)
 Consultant - National Member ($250)
 Consultant - Not a National Member ($300)
 Student/Academic (FREE)
 
 Vendor - National Member ($250)
 Vendor - Not a National Member ($300)
(Vendors must include 10 end users to qualify.)
  
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