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ONCE YOU HAVE COMPLETED THE SITE REGISTRATION, PLEASE GO TO "MEMBERSHIP APPLICATION" to complete your member application and pay your $30 member fee.

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Last Name: *

Address: *

City: *
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Postal Code: *
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County: *

Country:

Phone: *

Cell Phone:

Format (no spaces or dashes): xxxxxxxxxx
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E-Mail Address: *

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Department: *

Department Address: *

Title: *

Choose Username: *

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Choose Password: *

Password Strength:

Strong passwords contain 3 of the following items and at least 6 characters:

- Uppercase Letters
- Lowercase Letters
- Numbers
- Symbols

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