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ADDRESS INFO
Membership Type *	Individual Membership ($45.00) Annual Membership in the Alliance for Student Activities Bronze Membership ($90.00) $45.00 individual membership plus $45 contribution Silver Membership ($200.00) $45.00 individual membership plus $155 contribution Gold Membership ($300.00) $45.00 individual membership plus $255 contribution Lifetime Membership ($1500.00) Membership never expires
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 small letters, numbers, and the underscore '_'	check for uniqueness
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again
Position Held What best describes your professional position?	Activity Advisor Club Advisor Class Advisor Activity Director Principal Assistant/Vice-Principal Superintendent Other Administrator Executive Director Speaker/Trainer Retired Other
Organization Example: student government, DECA, National Honor Society, chess club, band, etc.
Where Examples: ABC High School, XYZ County, ABC Association of Student Councils, etc.
Level What grade level of students do you primarily work with?	High School Middle Level Both High School and Middle Levels Not Applicable
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ZIP *
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