Membership Registration – AffiliateMembership Type - AffiliateAffiliate - $40 / 1 YearAffiliateAutomatically renew subscriptionYou will be able to complete the payment after you have confirmed your e-mail address.Member Info Would you like to appear in the Member Directory?*YesNoIf Yes is selected, your info will appear in the Member Locator/Search. Please note, the following information will be available publically: First name, Last name, Email, City, State, Postal Code, Race/Ethnicity, Languages, Licensed in States, Specialty. Students, Affiliates, and Associates will only appear on the Private Members only directory. First Name* Middle Name Last Name* Contact Info E-mail* This email address will be used as your login username, to access the listserv, and displayed in the member directory (optional). Please note that we will not be able to honor requests to change the email address to be used for access to the listserv. Password* Minimum length of 8 characters. 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