Membership Registration/Renewal

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Membership dues are $20/year. Please complete the form below. Once you hit submit, you'll be offered the opportunity to pay via PayPal.

First Name:*
Nickname:
Last Name:*
Birthdate:
Email:*
Confirm Email:*
Phone:
PhoneType:	Cell Home Work
	May we call you?
	May we text you?
	May we email you?
	If someone requests your number, may we give it to them?
	If someone requests your email, may we give it to them?
Note: