Student Membership Application

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Contact Information

* First Name:

* Last Name:

* School Attending:

* Student ID#:

* Grade:

* Personal Address:

* City:

* State:

* Zip:

* Email:

* Confirm Email Address:

* Phone Number:

* Do you want to share your information (Name, School Attending and Email Only) in the Member Directory or is it for association use only?

Yes, Please Share!

For Association Use Only

* Current area of study/Major:

* Expected Graduation Date:

How did you hear about us?

Received an invitation

Received an email from ACCP

Through CMAA

Other

If by invitation, name of referring member:

If Other, how:

Payment Information

By submitting this Student Membership Application, I acknowledge I am responsible for the annual Student Membership fee of $50
Individuals are eligible for the student membership for up to one year following their graduation date.

Promotional Code, if applicable:

* Payment Option
(If choosing to pay by credit card, you must fill out Billing Address information below)

Check is in the mail

Invoice Me and I'll send a check in the mail

Credit Card (enter credit card information after submitting form)

Billing Address

* Name
(as it appears on the card)

* Billing Address:

* City:

* State:

* Zip:

* Denotes Required Field

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