$25 Student Membership w/Journal – Auto Renew

August 24, 2020
Posted by Administrator

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Must be an enrolled student, regardless of status or institution. Does not have voting privileges.

This subscription will renew yearly. Please register through the form below:

Terms:

$25 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Receipient Name Prefix: Receipient Name Prefix is not valid

Receipient First Name:* Receipient First Name is Required

Receipient Last Name:* Receipient Last Name is Required

Receipient Suffix: Receipient Suffix is not valid

Company:* Company is Required

Receipient Title:* Receipient Title is Required

Department (if part of delivery address): Department (if part of delivery address) is not valid

Delivery Address:* Delivery Address is Required

Delivery City:* Delivery City is Required

Delivery State:* Delivery State is Required

Delivery Zip:* Delivery Zip is Required

Delivery Country:* Delivery Country is Required

Phone:* Phone is Required

Fax: Fax is not valid

Doctrinal Affirmation*

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

Online

First Name on Card

Last Name on Card

Zip code for Card

Credit Card Number Invalid Credit Card Number

Expiration Invalid Expiration

CVC Invalid CVC Code

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