Membership Registration

You can find more information about our membership levels here. If you any further questions, contact us!

Please note: Your information will be added into our database, but will only become activated once membership payment is confirmed.

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First Name:*

Middle Initial:

Last Name:*

Email:*

Membership Type* :*

Full Membership Associate Membership

City:*

State:*

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada NewHampshire NewJersey NewMexico NewYork NorthCarolina NorthDakota Ohio Oklahoma Oregon Pennsylvania RhodeIsland SouthCarolina SouthDakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. WestVirginia Wisconsin Wyoming

Gender:*

male
female

Industry/Field Of Study:

Town of Origin in Cameroon:

School Attended in Cameroon :

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