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	KAM Membership Application Please note that online payments are not yet available. KAM accepts purchase orders and checks. (*) Indicates Required Fields *First Name: *Last Name: *Title: *Organization: *Address: *City: *State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip: *Business Phone: Fax: *Email: Home Phone: *Membership Type: Regular Membership ($20) Commercial Subscribing ($35) Student** ($10) Designation Fees: (please select ONLY if you have taken and passed a designation exam) KGISP Maintenance Fee ($15) PKM Maintenance Fee ($15) KM Maintenance Fee ($10) **Student registration/membership must include college or university name and a copy of a valid student ID.
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