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Student Membership
Contact Information
Name
*
First Name
Last Name
Pronouns
Are you over the age of 18?
*
Yes
No
School
Email
*
Verify Email
*
Cell Phone
Home Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Annual Student Membership
*
$15
-
A person enrolled in a post-secondary institution (college, university, etc.)
$30
-
Student Membership + $15 Donation
$60
-
Student Membership + $45 Donation
$100
-
Student Membership + $85 Donation
Payment Info
After clicking "Continue to Payment" below, you can pay via PayPal, Credit Card, or Debit Card.
Add 3% to my total amount to help cover the payment processing fees