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Primary Member Infomation

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Last Name *

Phone Number *

Email Address *

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Company Name

Address1 *

Address2

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State *

City *

Zip Code *

Note:

Please update your profile by adding spouse and children information in your member portal

Add Family/Group Information

Group Member Type *

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Last Name *

Phone Number *

Email Address *

Confirm Email Address *

Company Name

Same as Primary Member

Address1 *

Address2

Country *

State *

City *

Zip Code *

+ Add Another Family/ Group Member

Add Children Information

Use this section if you want to add (minor) children records. These records will not be added as members in the system.

First Name*

Last Name*

Phone Number

Email Address

Child Year of Birth

+ Add Another Child

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Membership Period(s) Membership For Lifetime

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Membership Join Date: 07/13/2025

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Member(s) Information:

Name	Phone	Email	Address	Relation	Gender	Date of Birth	Marital Status	Native Country	Citizenship Type

Children Detail(s):

Name	Phone	Email	Year of Birth

Membership Detail(s):

Membership Type:

Validity:

Membership Start Month	Membership Join Date	Membership End Date

Fee Detail(s):

Fee Type	Fee Amount Per Member	No. of selected Periods

Amount Per Member For Selected No. of Periods	Total Members	Total Amount Due

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Primary Member Infomation

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Declaration

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Member(s) Information:

Children Detail(s):

Membership Detail(s):

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Fee Detail(s):

Payment

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