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ASTD Membership Application Form

Apply for Full, Individual, Student, and Corporate Memberships.

Type of Membership
Full Membership - $125.00
Individual Membership - $50.00
Student Membership - $25.00
Corporate Membership - $175.00
Membership Type
Which type of membership are you applying for?
Individual Information
Please fill in this section if you applying for a Full, Individual or Student membership.
Name
Title
Company
Work Address
Work Phone Number
Work E-mail
Org. Website
Home Phone Number
Home E-mail
Corporate Information
Please complete this section if you are applying for Corporate Membership
Corporate Contact Name
Title
Company
Work Address
Work Phone Number
Work E-mail
Org. Website
Submit your application

and return to the Maine ASTD Membership page to pay online.