Senior Membership

Senior membership includes members 65+

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

Preferred Name: Preferred Name is not valid

Phone:* Phone is Required

Organization, School, or University: Organization, School, or University is not valid

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

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Description	Amount
Senior Membership – Initial Payment	$64.00
Total	$64.00

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