Non Voting Member Application

For an MSYSP Non Voting membership, please fill out the following form and someone will respond with the documentation that is needed. Thanks for applying

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Name *

First

Last

Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Email *

MSYSP Association *

• UKSC Member
• UKSC Relative

Annual Fee *

Price: $150.00

Credit Card Payment *

Card Number

MM123456789101112Expiration

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YY2526272829303132333435

Security Code

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