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Membership Type *	Individual ($75.00) Professional Individual ($25.00) Student Organization Level 1 ($50.00) Budget: Under $100,000 Organization Level 2 ($150.00) Budget: $100,000 - $250,000 Organization Level 3 ($200.00) Budget: $251,000 - $500,000 Organization Level 4 ($300.00) Budget: $501,000 - $1,000,000 Organization Level 5 ($400.00) Budget: 1,000,000 - $3,000,000 Organization Level 6 ($500.00) Budget: $3,000,000+
Payment System *	PayPal secure credit card payment
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Login Name (User ID) * It must be 4 or more characters in length and may only contain lowercase letters, numbers, and the underscore '_'	check for uniqueness
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again
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Home Phone Number *
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Employer Address
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Send mailings to *	Home Address Business Address
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