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* 1. Which INNZ membership option would you like to sign up for?

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* 2. What is your name, organization & role, and email address?

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* 3. If applying for Subsidized Membership what organization are you affiliated with? i.e. One or more of the following: What university to you study at? Which small organization do you work for (>5 full time staff)? Which organization do you volunteer for?

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* 4. If applying for Corporate Membership please provide the name and contact details for the five individuals in your organization who will be members of INNZ

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