CAST-UT Membership: online application
Renewal
New
First name:
Last name:
Male
Female
Affiliation (Employer or School if applicable):
Mailing Address:
Telephone (format: 000-000-0000)
Home:
Work:
Fax:
Cellphone:
E-mail:
Degree:
Major:
School:
Current Working/Research Area (if applicable):
CAST needs many volunteers to help with activities. Please indicate which special work groups you would like to participate in:
Membership
Convention / Conference
Fund Raising
Science/Technology Cooperation
Publication
Public Relations
Student/Scholarship
Seminar/Workshop
Fellowshipping
Website Design/Maintenance
Finance
Other (Please specify:
)
Membership fee:
Regular: $25
Student: $15 (mail your valid ID, please)
Couple: $40
Lifetime: One-time fee of $200
Corporate: $300
(If couple, spouse's name:
email:
)
(
You will have the choice to pay oneline by PayPal when you click submit below
)
CAST has many local Chapters. Please specify which chapter you will be a member of:
Utah
Arizona
California: Los Angeles
California: San Diego
Connecticut
Greater New York
Pennsylvania
North Carolina
Texas
Washington DC
Other
(If other, please specify:
If you have any support materials, please mail to:
CAST-UT
9563 Candle Tree Lane
Sandy, Utah 84092
Aggreement: I Join the association voluntarily and will adhere to the CAST and the local Chapter regulations.
In lieu of your signature, please choose the month you were born:
January
February
March
April
May
June
July
August
September
October
November
December
Today's Date (format: mm-dd-yyyy):
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