Default Membership Join Form (Individual)

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Include a submember in your membership registration

Graduate Student Join - $63

Individual Member Join - $126

Undergraduate Student Join $32

Check box if you would like your membership to automatically renew next year (please note: this will charge your card)

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Include a submember

{{subMemberDisplayName}} {{index+1}}: {{getSubMemberName(index)}}

Choose Existing Contact(s)

Membership Level *

Check box if you would like your membership to automatically renew next year (please note: this will charge your card)

First Name *

Last Name *

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Add {{subMemberDisplayName}}

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{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{sm.userName}} ({{subMemberDisplayName}})

{{sm.startDate}} - {{sm.endDate}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

Event: {{d.eventName}}

Attendee	Admission	Amount
{{a.attendeeLabel}}	{{a.admission}}	{{a.amount === 'Free' ? 'Free' : a.amount ? formatAmount(a.amount) : ''}}
	{{s.sessionLabel}}	{{s.amount === 'Free' ? 'Free' : s.amount ? formatAmount(s.amount) : ''}}

{{this.formCurrency.sign}} Donation {{formatAmount(orderSummary.donationAmount)}}

Frequency selected: {{recurringUnitDescription || recurringUnitText}}. Next add-on payment processes on {{orderSummary.recurringDonationNextDate}} for {{formatAmount(orderSummary.donationAmount)}}

Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Discounts -{{formatAmount(orderSummary.discountTotal)}}

Subtotal {{formType==='PRODUCT' ? formatAmount(productNetSubtotal(orderSummary)) : formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Delivery Cost {{formatAmount(orderSummary.deliveryCost || 0)}}

Tax {{formatAmount(orderSummary.tax)}}

Tax {{formatAmount(orderSummary.tax || 0)}}

Tax {{formatAmount(orderSummary.taxAmount || 0)}}

Total {{formatAmount(orderSummary.total)}}

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Card

Pay Later

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card Number *

Expiration (MM/YY) *

CVV *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip

Country

I will mail in a check or money order

Please mail your payment to:

4801 Lindle Road

Harrisburg , PA 17111

Amount:

{{formatAmount(totalAmount)}} USD

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Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

		Contact Name	Membership Level
	{{item.contactName}}	{{item.membershipLevel==null?'-':item.membershipLevel}} {{item.startDate}} - {{item.endDate}}
No contacts.