Associates: Join or Renew Now

Associate Discount Membership Enrollment

First Name

Last Name

Email Address

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Organization

Title

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Website

Your Facebook Page link

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Recommended By

1st topic you would like to see on the program for next year's convention.(This is a Required Field)

2nd Topic you would like to see on the program for next year's convention.

Alt. Phone Number

Renewals Only ( Make sure that you make QTY 1 to go to the pay page)

Associate Membership (Discounted Renewal)

Discounted dues for early renewal - $100 until July 31st
**Price will increase to $150 beginning August 1st

$100.00

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Associate Dues - $150 August 1 through May 31st

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