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If you would prefer to mail in your registration, please print the
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Personal Information
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Last Name
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Phone Number
State
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Pennsylvania
Puerto Rico
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Texas
Utah
Vermont
Virginia
W. Virginia
Washington
Wisconsin
Wyoming
Zip
Affiliation Information
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OR
New Affiliation Name
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Abraham Baldwin College
American Intercontinental Univ
Arizona State University
Arkansas Tech University
Auburn University
Barsuk
Brevard Community College
Broward Community College
Cal State U - Chico
Central Florida Comm. College
Costal Carolina University
Daytona Beach Community Colleg
Eckerd College
Embry Riddle Aeronautical University
Flagler College
Flordia A&M University
Florida Atlantic University
Florida Community College
Florida Gulf Coast University
Florida International University
Florida Metropolitan University
Florida Southern College
Florida State University
Full Sail
Full Sail College
Gainesville College
Hillsborough Community College
Hodges University
Individual Participant
International College
J. P. Taravella High School
Jacksonville University
Keiser College
Keiser University
Kennesaw State University
Lynn University
Manatee Community College
Miami Dade College
Middle Georgia College
Mikonics Corporation
name
Nova Southeastern College
Palm Beach Community College
Palm Beach Atlantic Universit
Palm Beach Atlantic University
personal
Polk Community College
Rollins College
Santa Fe Community College
Sarasota High School
Seminole Community College
Somerset Academy Charter High
St. Petersburg College
St.Leo University
Stetson University
Texas Lutheran University
Texas State Univ-San Marcos
Texas State University
Texas Tech University
Trinity Prep School
University of Central Florida
University of Evansville
University of Florida
University of Georgia
University of Miami
University of North Florida
University of Richmond (VA)
University of South Florida
University of Southern Florida
University of Southern Indiana
University of Tampa
Valencia Community College
Virginia Tech
Walt Disney World
Warner Southern College
Western Kentucky University
If your affiliation is listed, you need not supply address information for affiliation. If your affiliation is not listed, please provide in the spaces to the right.
Address
City
State
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Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
N. Carolina
N. Dakota
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
S. Carolina
S. Dakota
Tennessee
Texas
Utah
Vermont
Virginia
W. Virginia
Washington
Wisconsin
Wyoming
Zip
Phone Number
Membership Options
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Student Membership - $10.00
Regular Membership - $30.00
Patron Membership - $50.00
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