Association and Organization Application

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* 1. Association / Organization Name

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* 2. Association / Organization Mailing Address

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* 3. Association / Organization Mailing City

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* 4. Association / Organization State/Province

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* 5. Association / Organization Zip or Postal Code

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* 6. Association / Organization Country

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* 7. School/ Organization Phone Number

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* 8. Association / Organization Billing Address

Same as Mailing Address -- Skip to Question # 13

Different than Mailing Address -- Fill out Questions # 9-12

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* 9. Association / Organization Billing Address

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* 10. Association / Organization Billing City

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* 11. Association / Organization State/Province

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* 12. Association / Organization Zip or Postal Code

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* 13. Primary Contact Name

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* 14. Primary Contact Email address:

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* 15. Primary Contact Title

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* 16. How did you hear about AISAP?

After you submit the following application we will follow up with you within 24 hours to confirm receipt of the application and to provide you with our payment options.