Apply – ESAA

Membership Type(Required)

Household ($50/year)

Individual ($40/year)

Junior ($5/year)

ESAA shall waive the membership fee for the initial application year and no fees will be due until renewal due date (March 1) of the following year PROVIDED you were not a previous member of ESAA for at least 2 years prior to the date of this application. If you have been a member within 2 years prior to this application, the fees listed will apply.

Last Membership Year

If free membership and previously a member, please list your last membership year.

Birthday

Juniors only.

Name(Required)

First Last

Second Member Name

First Last

Phone(Required)

Email(Required)

Second Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Club Email Listing(Required)

I Agree to Share My Email Address With Other Members

No, I Opt Out of Sharing

ESAA provides name and email addresses of club members via our website in the members only section. We would like to share your email with other members who may need or want to contact you.

Sponsor 1(Required)

First Last

Sponsor 1 Email(Required)

Sponsor 2(Required)

First Last

Sponsor 2 Email(Required)

Areas of Interest

Advertising

Trophies

Computer Web

Financial

Mentoring

Hospitality

Fundraising

Catalog Sales

Writing/Editing

Total

Credit Card

Card Details

Cardholder Name

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ESAA Membership Application