Membership Application

P.O. Box 311095
Jamaica, New York 11431

Directions: Please enter all required information

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

License Number

Student ID#

Membership Level (Select Option below)

New Member Subscription

$125.00 for each year

Returning Member Subscription

$125.00 for each year

Student Member Subscription

$0.00 for each year

Gift Member Subscription

$125.00 for each year

Student ID or Transcript (necessary for student members)

Select File

Your Message