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Individual Membership Application

Upon receipt of dues, you will be placed on the mailing list immediately. Information supplied below will be included in the Membership Directory, unless otherwise specified.

Name
Company/Organization
Address
City
State   Zip
Home #   Work #
Fax #
E-mail

Membership Dues: Please select your desired membership level from the list below:

$1000 Individual Benefactor
$250 Special Contributor
$100 Contributor
$50 Member
$15 Student

Dues are for one calendar year from the date of application/renewal.

To complete your application, dues payment may be made by major credit card via telephone. Please contact the JASP at (412) 433-5021 to complete your application.