Membership Application

*=Required
Personal Information
Name* (Salutation, First, Middle Initial, Last)
   
E-Mail Address*
Title (if available)
Company*
Parent Company (Optional)
Address Line 1*
Address Line 2 (Optional)
City*
State
Province
Postal Code
Country*
Zip Code
Phone*(country code, area code, number, extension)
     
Fax (if available) (country code, area code, number)
   
Username:
Password:
Dues Amount Owed
$130.00 US
Introductory offer $130 USA per year until Sept 30 2006.
Credit Card Type
Credit Card Number* (No dashes or spaces needed)
Expiration Date*
Cardholders Name*
Credit Card Billing Address*
Postal Code/Zip Code*
GLOBAL CAMEL Terms, Conditions of Use and Refund Policy
By submitting your application you are agreeing to the GLOBAL CAMEL TERMS AND CONDITIONS OF USE AND REFUND POLICY above.
  

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