AZSAE Membership Form

Personal & Company Info
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Personal Info

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Registrant Info

First Name:*
Last Name:*
Title: 
Credentials: 
Email Address:*
Street Address:*
City:*
State:*    Zip Code:*
Contact Number:*
Who introduced you to AZSAE?: 
Would you like to introduce someone to AZSAE?: 

Company Info

Association/Company:*
Website: 
Dues:  Regular Member (CSE) $200
Chief paid association executive and/or other paid staff, devoted full time to association duties and engaged in management responsibilities of voluntary trade, educational, technical or business associations or professional societies. Additional staff members from the same association may join and receive full benefits at a discounted rate

Staff Member (Staff) $135
Staff member of an existing member

Associate Member(Property) $299
Associate Member(Other) $299
Company, organization or individual that provides products, services or meeting venues to the association industry. The membership will be in the name of the company with an individual designated as the representative
Custom Amount