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New York Metro Chapter: Leadership in Workplace Learning Since 1954
 

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Membership Registration
Membership Enrollment & Payment Form


Fill out this form by marking the appropriate boxes based on your choice of meetings, workshops, or membership. Payment may be made by check or credit card and forwarded by any of the following methods: FAX: 212-362-7102 MAIL: ASTDNY, PMB 347, 459 Columbus Avenue, New York, NY 10024; Phone: 212-982-7371. Those individuals registering through the website will be sent an invoice.


ENTER YOUR INFORMATION* Please fill-in ALL REQUIRED information.
Choose One :
New Individual Membership $125
Individual Renewal Membership $100
New Corporate Membership Discount $100**
Renewal Corporate Membership $75**
New Student Membership $50***
Renewal Student Membership $50
First Name:
Middle Initial:
Last Name:
Company Name:
E-mail:
Telephone:
Fax:
Address:
Address 2:
City:
State/Providence:
Zip:
Country:
Indicates required field.
**When 3 persons of the same firm enroll together
***With a copy of student ID.

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