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Membership Application

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Please complete this application to join or renew membership in the Cryogenic Society of America.

These fields are required These fields are optional
Salutation (i.e. Dr./Prof./etc.)
First Name
Last Name
Title
Affiliation
Address

City
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Phone
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e-mail Address
Password
Website
Member Number
(if a renewal)
 Membership Type
(Check one)
Individual $75.00
Student $35.00
Retiree $35.00

Lifetime Individual Membership (U.S. Residents) $600.00
Lifetime Individual Membership (Foreign Residents) $750.00

Corporations:
1 to 10 Employees $450.00
11 to 25 Employees $660.00
26 to 50 Employees $870.00
51 to 100 Employees $1,290.00
101 to 500 Employees $2,340.00
501 to 1000 Employees $5,250.00
1001+ Employees $7,350.00

Government, Non-Profit $420.00
If your mailing address is outside of the United States,
our system will automatically add $40.00 to the above prices during checkout

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All Rights Reserved
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