Application Level Grading

$100.00 – $400.00

Member Number*
Please enter your member number. IF THIS IS YOUR FIRST MEMBERSHIP ENTER N/A. You will be assigned a member number after your order has processed.
Student Of
Please name your instructor. If you are a distance student without a specific instructor, please use Sam Chin.
First Last
Your Name*
Please enter your name in the fields below.
First Last
Date of Birth*
MM slash DD slash YYYY
Your Email*
Occupation (s)

Please help us get to know our members better.
Your Phone #
Spouse / Legal Partner: For LIFE MEMBERSHIPS only
Spouse or legal partner get complimentary life memberships. A separate passbook and member ID will be issued. **This cannot be added later despite of your change in marital status.
Spouse/Legal Partner's Name
First Last
Date of Birth
MM slash DD slash YYYY
Spouse / Legal Partner's Email

Please provide his/her email in order for us to complete registering your spouse / legal partner's membership.
Occupation (s)

Please help us get to know our members better.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Agree*
- I Agree
By submitting my membership purchase I agree to the terms and conditions outlined here.
Product Name*
Total
$0.00
Untitled
Name
This field is for validation purposes and should be left unchanged.

SKU: N/A Category: Member Fees

Description

Pay for your application level grading.

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