Couple’s Membership (Receive Newsletter Digitally)

A 1 Year Membership to I-MAC for a couple. You will receive our newsletter digitally.

Price:

$15 for 1 Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

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State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Phone Number:* Phone Number is Required

2nd Name (For Couple's Memberships): 2nd Name (For Couple's Memberships) is not valid

2nd E-Mail Address (For Couple's Memberships): 2nd E-Mail Address (For Couple's Memberships) is not valid

2nd Phone Number (For Couple's Memberships): 2nd Phone Number (For Couple's Memberships) is not valid

Membership Type:* Membership Type is Required

----------New MemberRenewalHonorary Member

What Information May We Publish In The Membership Directory Only Area Of The Website (For Members Only)?:* What Information May We Publish In The Membership Directory Only Area Of The Website (For Members Only)? is Required

Name Address Phone Number E-Mail Address

Do You Wish To Receive I-MAC Club E-Mails Informing You Of Upcoming Club Events And Items Of Interest?:* Do You Wish To Receive I-MAC Club E-Mails Informing You Of Upcoming Club Events And Items Of Interest? is Required

----------YesNo

I hereby acknowledge and agree that the activities of the Inter-Mountain Alpine Club (I-MAC) involve some risk, and that by signing this waiver I am waiving and releasing all claims by me, my spouse, my children or my heirs against I-MAC for any injury from my participation in connection with any club event. I agree to be personally responsible for my own safety.*

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

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