NYSCC Individual Membership Form

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Individual members receive access to the council newsletters and email updates.

Include a submember in your membership registration

GUARDIAN-INDIVIDUAL

DEFENDER-INDIVIDUAL

LIFETIME-INDIVIDUAL

I would like to automatically renew my membership

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Company Name

First Name *

Last Name *

Prefix

Suffix

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Address Line 1 *

Address Line 2

City *

State/Province *

County *

Zip/Postal Code *

DEC Region

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Data Privacy & Consent

Yes, I would like to receive communications from NYSCC by email.

Yes, I would like to receive communications from NYSCC by mail.

Yes, I would like to receive text messages from NYSCC.

Create an account to save your information and access our online portal!

Password

Retype Password

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Include a submember

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Add {{subMemberDisplayName}}

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Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

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Discount Code

Code:

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Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Card

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Billing address is the same as mailing address

Address Line 1

Address Line 2

City