Membership Application Form

Prospective members are advised that there is a one-time processing fee of JA$500.00

Please fill out the form below.  Compulsary fields are marked with an asterix (*)

Biographic Information

Applicant's Gender

Prospective members are reminded that once approved for a particular membership category, fees applicable to that category are due and become outstanding in the first month of the calendar year. The fee structure is as follows:

- Student: JA$1,000
- Associate: JA$2,000
- General: JA$3,000

Contact Information

Enter contact information accordingly

Applicant's primary mailing address

(XXX)xxx-xxxx

(xxx)xxx-xxxx

Applicant's most convenient email address

Professional/Academic Information
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