Full Member (1 Year)

Full membership for 1 year

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First Name Required Last Name Required

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Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Affiliation ( Company or University ):* Affiliation ( Company or University ) is Required

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

payment with paypal

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$60

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	Full Member (1 Year) – Initial Payment $60	$60.00
	Total	$60.00

Full Member (1 Year) – Initial Payment

$60

$60.00

Total

$60.00