Student Membership Subscription

Please enter information on the form below to process subscription for Student Membership.

Profile Picture

Show on members list

Email *

Password*

Retype Password *

First Name *

Last Name *

Organization

Address *

Address2

City *

Zip *

Country *

State *

Phone *

Areas of Interests *

Join a Committee *

Membership Committee

Event Committee

Social Media/Marketing Committee

Technology Committee

Fundraising Committee

I do not wish to join a committee

College/University Attending *

Short Bio About Yourself

Upload Student Verification *

Payment Terms

$25 for each 12 months

Regular subscription price

Regular subscription discount amount

Regular subscription tax

Payment Fee

Regular gross amount

Payment Method *

Pay by Card

Offline Payment

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

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