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New membership or renewal?
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Please pick one.
New Membership
Renewal Membership
Membership Level
*
$15,000
-
Admiral
$10,000
-
Commodore
$5,000
-
Captain
$2,500
-
Commander
$1,000
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Lieutenant
$750
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Business Sustainer
$500
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Business Benefactor
$500
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Benefactor
$250
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Business Contributor
$250
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Contributor
$125
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Supporter
$100
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Family (2 adults, 2 minors)
$75
-
Couple
$55
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Library
$50
-
Friend
$25
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Student
Frequency
One Time
Yearly
Contact Information
Your Name
*
First Name
Last Name
Spouse/Partner Name (Applicable for Friend Level or Above)
First Name
Last Name
Company Name (If Applicable)
Email
*
Verify Email
*
Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Gift Membership
Is this a gift membership?
Yes
Member Name
*
First Name
Last Name
Member Spouse/Partner Name
First Name
Last Name
Member Email
*
Verify Email
*
Member Phone
Member Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
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