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PART I:  
E-mail:
PART II:  
Years:
Education Background in Field/Occupation:





If yes, which organization(s)?:




PART III: Membership Options

$1,500/annually plus $125/monthly
$425/monthly

plus NFL Bronze


Basic 1 plus NFL Platinum
Basic 1 plus NFL Black

Basic 2 plus NFL Bronze
Basic 2 plus NFL Silver
Basic 2 plus NFL Gold
Basic 2 plus NFL Platinum
Basic 2 plus NFL Black

PART IV: Payment Options




Card#
Expiration Date:
Street:
City:
 
   
   
   
   
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