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Eligibility

Benefits

Membership Application

Annual membership fee is $25.00 (US), which is due on the first day of January of each calendar year. This amount is not prorated and is non-refundable.

    Membership Status

    Personal Information

    Name*

    Middle Name

    Last Name*

    Birthdate*

    Gender Pronoun

    Other

    Reason for your interest to join

    Contact Information

    Preferred Phone Number*

    Preferred E-mail*

    Home Address

    Postal Address (if different than home)

    Check Preferred Mode of Communication (check all that apply)

    Family Information (if applicable)

    Spouse

    First Name

    Middle Name

    Last Name

    Children under 18

    Name

    Age

    Name

    Age

    Name

    Age

    Name

    Age