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One Year Membership - (US Funds)

* First Name:    
* Last Name:    
* Email:    
* Phone:    
* Street:    
Street (Line2):    
* City:    
* State:    
* Zipcode:    
* Country:    
* Chapter name if any:    
* Information from this form may be shared in the TAS membership directory (accessible by members only). yes/no:    
* Pictures showing my participation in TAS activities may be used in the TAS newsletter and / or on the website. yes/no:    

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Annual membership runs from May 1st of the current year to April 30th of the next year.