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Member - growthzone - Arizona Technology Council
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if (assertRequired('#mn-memberapp-companyname')) requiredFields.push('Company Name'); if (assertRequired('#mn-memberapp-phone')) requiredFields.push('Member Phone'); if (assertRequired('#mn-memberapp-website')) requiredFields.push('Member Website'); if (assertRequired('#mn-memberapp-email')) requiredFields.push('Member Email Address'); if (assertRequired('#mn-memberapp-buscatpri')) requiredFields.push('Directory Category'); if (assertRequired('#mn-memberapp-physadrs1')) requiredFields.push('Member Address'); if (assertRequired('#mn-memberapp-physcity')) requiredFields.push('Member City'); if (assertRequired('#mn-memberapp-physstate')) requiredFields.push('Member State'); if (assertRequired('#mn-memberapp-physzip')) requiredFields.push('Member Postal Code'); if (assertRequired('#mn-memberapp-physcountry')) requiredFields.push('Member Country'); if (assertRequired('#mn-memberapp-mailadrs1')) requiredFields.push('Member Mailing Address'); if (assertRequired('#mn-memberapp-mailcity')) requiredFields.push('Member Mailing City'); if (assertRequired('#mn-memberapp-mailstate')) requiredFields.push('Member Mailing State'); if (assertRequired('#mn-memberapp-mailzip')) requiredFields.push('Member Mailing Postal Code'); if (assertRequired('#mn-memberapp-mailcountry')) requiredFields.push('Member Mailing Country'); if (assertRequired('#mn-memberapp-prirepfirstname')) requiredFields.push('Primary Contact First Name'); if (assertRequired('#mn-memberapp-prireplastname')) requiredFields.push('Primary Contact Last Name'); if (assertRequired('#mn-memberapp-prireptitle')) requiredFields.push('Primary Contact Title'); if (assertRequired('#mn-memberapp-prirepphone')) requiredFields.push('Primary Contact Phone'); if (assertRequired('#mn-memberapp-prirepemail')) requiredFields.push('Primary Contact Email'); if (assertRequired('#mn-memberapp-prireplogin')) requiredFields.push('Primary Contact Login'); if (assertRequired('#mn-memberapp-prireppwd')) requiredFields.push('Primary Contact Password'); if (assertRequired('#mn-memberapp-billrepfirstname')) requiredFields.push('Billing Contact First Name'); 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if (assertEmailFormat('#mn-memberapp-billrepemail')) invalidFields.push('Billing Contact Email Address'); if (assertRequired('#mn-memberapp-answer')) requiredFields.push('Captcha Answer'); var message = ''; if (requiredFields.length) message += 'The following fields are required:\n' + requiredFields.join(', '); if (invalidFields.length) { if (message) message += '\n\n'; message += 'The following fields are invalid:\n' + invalidFields.join(', '); } if (Boolean(1) && !checkPassword()) { if (message) message += '\n\n'; message += 'Password does not meet requirements. Password must contain at least:\n'; if ("") message += + ' characters\n'; if ("") message += + ' alphabetic character(s)\n'; if ("") message += + ' upper case character(s)\n'; if ("") message += + ' number(s)\n'; if ("") message += + ' special characters\n'; } if (message) { $('input[type="submit"]').removeAttr('disabled'); alert(message); return false; } $('input:submit').click(function() { $('input:submit').attr("disabled", true); }); return true; }; $('.mn-action-availability :input').click(function(e) { var $this = $(this), $login = $('input[name="NewMemberInfo.' + $this.data('login') + '"]'), $pwd = $('input[name="NewMemberInfo.' + $this.data('pwd') + '"]'), $message = $this.parents('.mn-actions').find('.mn-verify-message'); $.ajax({ url: 'https://tech.aztechcouncil.org/member/accountavailability', data: { username: $login.val(), password: $pwd.val() }, type: 'POST', success: function(data, xhr, status) { $message.css('color', data.Verified ? '#00CE11' : '#FF0008').text(data.Message).show(); }, error: function(xhr, status, error) { $message.text('An error occurred while checking availability.'); setTimeout(function() { $message.hide(); }, 2000); } }); return false; }); $('#mn-memberapp-signup form').submit(assertRequiredFields); }); </script> <meta name="referrer" content="origin" /></head> <body class="page-template-default page page-id-13896 wp-embed-responsive growthzone"> <script> window.chatConfig = { chatId: "3382zkn4ew", AccentColor: "#f58025", BackgroundColor: "#FFFFFF", env: "skillbuilder" }; </script> <script src="https://d36ewmyb2wrx29.cloudfront.net/index.js"></script> <div id="app"> <a class="sr-only focus:not-sr-only" href="#main"> Skip to content </a> <header class="site-header "> <div class="content-container"> <div class="row align-columns-spaced"> <div class="brand"> <a href="https://www.aztechcouncil.org/"> <img src="https://www.aztechcouncil.org/wp-content/uploads/2023/04/Logo-1.png" alt="Arizona 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class="mega-menu-event-location"> | Scottsdale, AZ</span> </p> </div> </a> <a href="https://www.aztechcouncil.org/event/tucson-after5-winsor-consulting/" class="mega-menu-event"> <div class="mega-menu-event-wrapper"> <p class="mega-menu-event-title">Tucson after5 Tech Mixer: Hosted by W...</p> <p class="mega-menu-event-meta"> <span class="mega-menu-event-date">February 26, 2025</span> <span class="mega-menu-event-location"> | Tucson, AZ</span> </p> </div> </a> </div> <a href="https://www.aztechcouncil.org/events/" class="mega-menu-cta" target="">View All Events <svg width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M13.7778 5.77783L20 12.0001M20 12.0001L13.7778 18.2223M20 12.0001L4 12.0001" stroke="currentColor" stroke-width="1.77778" stroke-linecap="round" stroke-linejoin="round"/> </svg> </a> </div> </div> </li> <li class="menu-item "> <span>Community</span> <div class="mega-menu"> <div class="mega-menu-sidebar"> <p 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target=""> <span>Tech Industry Job Board</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/solarize-at-work-with-smartpower/" class=" " target=""> <span>Affordable Residential Solar</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/events/?event_cat=community-events&feed_post_type=event&per_page=6&feed_post_type=event&post_not_in=10525" class=" " target=""> <span>Community Tech Events</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/why-join/" class="sub-menu-cta " target=""> <span>View All Membership Benefits</span> </a> </li> </ul> <ul class="mobile-menu " data-parent-nav="142"> <li> <a class="menu-back" href="#"> <svg width="36" height="16" viewBox="0 0 36 16" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M34.2316 1.65991L17.9016 14.6599L1.57153 1.65991" stroke="currentColor" stroke-width="2.67" stroke-linecap="round" stroke-linejoin="round"/> </svg> <span>Back</span> </a> </li> <li> <a 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viewBox="0 0 36 16" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M34.2316 1.65991L17.9016 14.6599L1.57153 1.65991" stroke="currentColor" stroke-width="2.67" stroke-linecap="round" stroke-linejoin="round"/> </svg> </a> </li> <li> <a href="#" class=" has-children " data-child-nav="187" target=""> <span>Publications & Press</span> <svg width="36" height="16" viewBox="0 0 36 16" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M34.2316 1.65991L17.9016 14.6599L1.57153 1.65991" stroke="currentColor" stroke-width="2.67" stroke-linecap="round" stroke-linejoin="round"/> </svg> </a> </li> </ul> <ul class="mobile-menu " data-parent-nav="180"> <li> <a class="menu-back" href="#"> <svg width="36" height="16" viewBox="0 0 36 16" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M34.2316 1.65991L17.9016 14.6599L1.57153 1.65991" stroke="currentColor" stroke-width="2.67" stroke-linecap="round" stroke-linejoin="round"/> </svg> <span>Back</span> </a> </li> <li> <a href="#" class=" " target=""> <span>About The Council</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/our-team/" class=" " target=""> <span>Our Team</span> </a> </li> <li> <a href="https://scitechinstitute.org/" class=" " target=""> <span>SciTech Institute</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/sponsorship/" class=" " target=""> <span>Become Annual Sponsor</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/contact/" class="sub-menu-cta " target=""> <span>Contact Us</span> </a> </li> </ul> <ul class="mobile-menu " data-parent-nav="187"> <li> <a class="menu-back" href="#"> <svg width="36" height="16" viewBox="0 0 36 16" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M34.2316 1.65991L17.9016 14.6599L1.57153 1.65991" stroke="currentColor" stroke-width="2.67" stroke-linecap="round" stroke-linejoin="round"/> </svg> <span>Back</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/blog/" class=" " target=""> <span>Blog</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/annual-report/" class=" " target=""> <span>Annual Report</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/podcasts/" class=" " target=""> <span>AZ TechCast Podcast</span> </a> </li> <li> <a href="http://aztc.eimpactv2.report/reports/view/5f08e79ae2cca70033382657" class=" " target=""> <span>Industry Impact Report</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/news-and-press/" class=" " target=""> <span>News + Press</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/tech-magazine/" class=" " target=""> <span>TechConnect Magazine</span> </a> </li> <li> <a href="https://www.aztechcouncil.org/podcasts/" class=" " target=""> <span>TechFocus Podcast</span> </a> </li> </ul> </nav> </div> </header> <main id="main" class="main"> <section class="hero hero-layout-simple background-orange"> <div class="hero-simple-accent"> <svg width="1110" height="281" viewBox="0 0 1110 281" fill="none" 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transform="matrix(-4.37114e-08 1 1 4.37114e-08 0 0)"/> </clipPath> </defs> </svg> </div> <div class="content-container"> <div class="row grid-collapse "> <div class="col-6"> <h1>Member Application</h1> </div> </div> </div> </section> <section class="content-columns padding-top-50 padding-bottom-50 background-color-white"> <div class="content-container"> <div class="row grid-collapse align-content-center align-columns-center"> <div class="content-column position-relative col-12 column-type-content padding-left-0 padding-right-0"> <div id="growth-zone-content"> <div id="mn-content" class="mn-content"> <script src="https://tech.aztechcouncil.org/Content/bundles/MiscUtils?v=xJHMSs3jUZVjhYam2obFMQ4iyE3MQWUgjzk8A7bKoRQ1"></script> <div id="mn-memberapp-signup" class="mn-module-content"> <div class="mn-banner mn-banner-premier"><div id="mn-banner"><noscript><iframe src="https://tech.aztechcouncil.org/sponsors/adsframe?context=219&maxWidth=480&maxHeight=60&max=1&rotate=False" width="480" height="60" scrolling="no" frameborder="0" allowtransparency="true" marginwidth="0" marginheight="0"></iframe></noscript></div></div> <script type="text/javascript"> var _mnisq=_mnisq||[]; _mnisq.push(["domain","tech.aztechcouncil.org"],["context",219],["max",5],["rotate",1],["maxWidth",480],["maxHeight",60],["create","mn-banner"]); (function(b,d,a,c){b.getElementById(d)||(c=b.getElementsByTagName(a)[0],a=b.createElement(a),a.type="text/javascript",a.async=!0,a.src="https://tech.aztechcouncil.org/Content/Script/Ads.min.js",c.parentNode.insertBefore(a,c))})(document,"mni-ads-script","script"); </script> <div class="mn-pretext">Request membership quickly and securely today! If you have any questions about membership or signing up, please email <a href="/cdn-cgi/l/email-protection#ee838b838c8b9c9d86879eae8f949a8b8d868d819b808d8782c0819c89"><span class="__cf_email__" data-cfemail="81ece4ece3e4f3f2e9e8f1c1e0fbf5e4e2e9e2eef4efe2e8edafeef3e6">[email protected]</span></a> or call 602.343.8324 today. <br> <br> Membership Rate Structure Membership in the Arizona Technology Council is by company and is divided into three categories: <span style="font-weight:bold;">Industry</span>, <span style="font-weight:bold;">Associate</span> and <span style="font-weight:bold;">Government/Not-for-Profit/Academic</span>. <br> <br> Every employee of a member company is recognized as a member of the Arizona Technology Council, therefore membership rates are based on the number of full-time Arizona employees. </p> <p></p> <p>Membership categories are defined as:<br> <br> <span style="font-weight:bold;">Industry Membership</span> <br> • Develop and/or provide technology services in Arizona. <br> • Business must be a revenue-generating venture. <br> <span style="font-weight:bold;"><br> Associate Membership</span> <br> • Provide support services to Arizona technology companies. <br> • Does not develop or provide technology services. <br> <span style="font-weight:bold;"><br> Government/Not-for-Profit/Academic Membership</span> <br> • Affiliated with any not-for-profit, accredited, higher-education institution within Arizona. <br> • A not-for-profit organization. <br> • A governmental entity.</p> <p </p> <p>Ready to join? Please complete the following:<br> </div> <form action="https://tech.aztechcouncil.org/member/newmemberapp" method="post" name="NewMemberApp"> <input type="hidden" name="NewMemberInfo.AtomicGUID" value="71e51342-460a-4ecb-836a-cf39a59d6ff3" /> <div id="mn-memberapp-business" class="mn-section"> <div class="mn-section-head"> <div class="mn-section-head-text">Business Information</div> </div> <div class="mn-section-content"> <div id="mn-memberapp-companyname" class="mn-form-row"> <label> <span class="mn-form-name"> Company Name: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="80" name="NewMemberInfo.MemCompanyName" size="45" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-blank" class="mn-form-row" style="display:none"> <label> <span class="mn-form-name"> Leave Blank: </span> <span class="mn-form-field"><input autocomplete="off" class="mn-form-text" maxlength="80" name="NewMemberInfo.AlternateEmail" size="45" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-phone" class="mn-form-row"> <label> <span class="mn-form-name"> Phone: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="30" name="NewMemberInfo.MemPhone" size="20" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-website" class="mn-form-row"> <label> <span class="mn-form-name"> Website: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="100" name="NewMemberInfo.MemWebSite" size="45" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-email" class="mn-form-row"> <label> <span class="mn-form-name"> Email: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="60" name="NewMemberInfo.MemEMail" size="45" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-buscatpri" class="mn-form-row"> <label> <span class="mn-form-name"> Directory Category: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><select class="mn-form-dropdown" id="NewMemberInfo_MemBusCatPri" name="NewMemberInfo.MemBusCatPri"><option value="">--- Select Primary Category ---</option> <option value="24">Academic</option> <option value="84">Accounting Services</option> <option value="101">Additive Engineering</option> <option value="22">Advanced Materials</option> <option value="10">Aerospace and Defense</option> <option value="77">Analysis and Laboratory Services</option> <option value="55">Architectural, Interior Design, Construction</option> <option value="107">Artifical Intelligence </option> <option value="108">Batteries</option> <option value="35">Biosciences</option> <option value="60">Business Consulting and Specialized Services</option> <option value="13">Business Consulting and Specialized Services, IT Services & Solu</option> <option value="21">Catering/Hospitality/Travel Services</option> <option value="71">Chemicals</option> <option value="110">Clean Energy</option> <option value="62">Computer Consulting Services</option> <option value="28">Computer Hardware</option> <option value="56">Computer Software</option> <option value="51">Computer Software, Internet-Related Services</option> <option value="43">Computer Software, IT Services & Solutions</option> <option value="5">Computer-Generated Graphics, Imaging</option> <option value="109">Cybersecurity</option> <option value="95">Data Center</option> <option value="111">E-Mobility</option> <option value="29">eLearning</option> <option value="117">Electric Vehicles</option> <option value="113">Electronic Components</option> <option value="40">Energy and Transportation</option> <option value="37">Engineering Design and Prototyping Services</option> <option value="67">Environmental, Sustainable Systems</option> <option value="93">Factory/Industrial Automation & Robotics</option> <option value="82">Financial and Banking Services</option> <option value="15">Government and Public Sector</option> <option value="119">Government Relations</option> <option value="3">Healthcare Services</option> <option value="61">High Technology</option> <option value="96">Hospitality & Travel</option> <option value="76">Human Resources and Employment</option> <option value="8">Insurance Services</option> <option value="99">Internet Security</option> <option value="54">Internet-Related Services</option> <option value="19">Internet-Related Services, Retail and Consumer Goods</option> <option value="31">Internet-Service-Provider</option> <option value="68">IT Services & Solutions</option> <option value="115">Laser-based Technology/Photonics</option> <option value="53">Legal Services</option> <option value="44">Manufacturing</option> <option value="91">Marketing Communications and Public Relations</option> <option value="48">Media and Entertainment</option> <option value="34">Medical and Biotechnology</option> <option value="106">Mining</option> <option value="78">Nanotechnology</option> <option value="9">NonProfit Associations</option> <option value="100">OEM Laser Based Technology</option> <option value="46">Office Supplies, Furniture, Equipment</option> <option value="98">Optics</option> <option value="88">Other Services</option> <option value="58">Other Technology-Based Industrial Services</option> <option value="16">Pharmaceutical</option> <option value="92">Printing Services</option> <option value="97">Quality Assurance / Control and Consulting</option> <option value="64">Real Estate</option> <option value="116">Recycling</option> <option value="80">Regional Economic Development</option> <option value="26">Relocation Services</option> <option value="104">Research and Training Institutions</option> <option value="49">Retail and Consumer Goods</option> <option value="94">Scientific Instruments</option> <option value="36">Semiconductors</option> <option value="65">Subassemblies, Electronic Components</option> <option value="83">Technical Associations and Institutes</option> <option value="17">Technical Documentation Services</option> <option value="39">Technology Equipment Maintenance, Repair</option> <option value="2">Telecommunications</option> <option value="114">Transportation</option> <option value="7">Venture Capital Firms</option> </select></span> </label> </div> <div id="mn-memberapp-empcount" class="mn-form-row"> <div class="mn-form-name"> Employees: </div> <div class="mn-form-combo mn-form-textcombo"> <label id="mn-memberapp-empfulltime"> <span class="mn-form-name">Full-time</span> <span class="mn-form-field"><input class="mn-form-text" name="NewMemberInfo.MemEmpFullTime" size="5" type="text" value="" /></span> </label> <label id="mn-memberapp-empparttime"> <span class="mn-form-name">Part-time</span> <span class="mn-form-field"><input class="mn-form-text" name="NewMemberInfo.MemEmpPartTime" size="5" type="text" value="" /></span> </label> <div class="mn-clear"></div> </div> </div> <div id="mn-memberapp-commentquest" class="mn-form-row"> <label> <span class="mn-form-name"> Comments / Questions: </span> <span class="mn-form-field"><textarea class="mn-form-text" cols="35" name="NewMemberInfo.MemberCommentQuest" rows="3"> </textarea></span> </label> </div> <div id="mn-memberapp-cf3" class="mn-form-row"> <label> <span class="mn-form-name"> NAICS CODE: </span> <span class="mn-form-field"><select class="mn-form-dropdown" id="cf_3" name="cf_3"><option value=""></option> <option value="30">11 Agriculture, Forestry, Fishing and Hunting</option> <option value="31">21 Mining</option> <option value="32">22 Utilities</option> <option value="33">23 Construction</option> <option value="34">31-33 Manufacturing</option> <option value="35">42 Wholesale Trade</option> <option value="36">44-45 Retail Trade</option> <option value="37">48-49 Transportation and Warehousing</option> <option value="38">51 Information</option> <option value="39">52 Finance and Insurance</option> <option value="40">53 Real Estate Rental and Leasing</option> <option value="41">54 Profesional, Scientific, and Technical Services</option> <option value="42">55 Managment of Companies and Enterprises</option> <option value="43">56 Administrative and Support and Waste Management and Remediation Services</option> <option value="44">61 Educational Services</option> <option value="45">62 Health Care and Social Assistance</option> <option value="46">71 Arts, Entertainment, and Recreation</option> <option value="47">72 Accommodation and Food Services</option> <option value="48">81 Other Services (Except Public Administration)</option> <option value="49">92 Public Administration</option> </select></span> </label> </div> <div id="mn-memberapp-cf286" class="mn-form-row"> <label> <span class="mn-form-field"><input class="mn-form-check" name="cf_286" type="checkbox" value="on" /></span> <span class="mn-form-name"> SMS messages: </span> </label> </div> </div> <div id="mn-memberapp-physadrs" class="mn-section"> <div class="mn-form-title">Physical Address</div> <div id="mn-memberapp-physadrs1" class="mn-form-row mn-memberappadrs1"> <label> <span class="mn-form-name"> Line 1: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="40" name="NewMemberInfo.MemPhysAdrs1" size="45" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-physadrs2" class="mn-form-row mn-memberappadrs2"> <label> <span class="mn-form-name">Line 2:</span> <span class="mn-form-field"><input class="mn-form-text" maxlength="40" name="NewMemberInfo.MemPhysAdrs2" size="45" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-physcity" class="mn-form-row mn-memberappcity"> <label> <span class="mn-form-name"> City: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="30" name="NewMemberInfo.MemPhysCity" size="20" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-physstate" class="mn-form-row mn-memberappstate"> <label> <span class="mn-form-name"> State: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="20" name="NewMemberInfo.MemPhysState" size="2" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-physzip" class="mn-form-row mn-memberappzip"> <label> <span class="mn-form-name"> Postal Code: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="15" name="NewMemberInfo.MemPhysZip" size="11" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-physcountry" class="mn-form-row mn-memberappcountry"> <label> <span class="mn-form-name"> Country: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"> <select class="mn-form-dropdown" id="NewMemberInfo_MemPhysCountry" name="NewMemberInfo.MemPhysCountry"><option value="">--- Select Country ---</option> <option value="AF">Afghanistan</option> <option value="AL">Albania</option> <option value="DZ">Algeria</option> <option value="AR">Argentina</option> <option value="AM">Armenia</option> <option value="AU">Australia</option> <option value="AT">Austria</option> <option value="AZ">Azerbaijan</option> <option value="BS">Bahamas</option> <option value="BH">Bahrain</option> <option value="BD">Bangladesh</option> <option value="BE">Belgium</option> <option value="BZ">Belize</option> <option value="BM">Bermuda</option> <option value="BM">Bermuda</option> <option value="BT">Bhutan</option> <option value="BO">Bolivia</option> <option value="BA">Bosnia and Herzegovina</option> <option value="BW">Botswana</option> <option value="BR">Brazil</option> <option value="VG">British Virgin Islands</option> <option value="BN">Brunei</option> <option value="BG">Bulgaria</option> <option value="KH">Cambodia</option> <option value="CM">Cameroon</option> <option value="CA">Canada</option> <option value="029">Caribbean</option> <option value="CL">Chile</option> <option value="CN">China</option> <option value="CO">Colombia</option> <option value="CD">Congo (DRC)</option> <option value="CR">Costa Rica</option> <option value="CI">Côte d’Ivoire</option> <option value="HR">Croatia</option> <option value="CU">Cuba</option> <option value="CZ">Czechia</option> <option value="DK">Denmark</option> <option value="DO">Dominican Republic</option> <option value="EC">Ecuador</option> <option value="EG">Egypt</option> <option value="SV">El Salvador</option> <option value="ER">Eritrea</option> <option value="EE">Estonia</option> <option value="ET">Ethiopia</option> <option value="FO">Faroe Islands</option> <option value="FI">Finland</option> <option value="FR">France</option> <option value="GE">Georgia</option> <option value="DE">Germany</option> <option value="GH">Ghana</option> <option value="GR">Greece</option> <option value="GL">Greenland</option> <option value="GT">Guatemala</option> <option value="HT">Haiti</option> <option value="HN">Honduras</option> <option value="HK">Hong Kong SAR</option> <option value="HU">Hungary</option> <option value="IS">Iceland</option> <option value="IN">India</option> <option value="ID">Indonesia</option> <option value="IE">Ireland</option> <option value="IL">Israel</option> <option value="IT">Italy</option> <option value="JM">Jamaica</option> <option value="JP">Japan</option> <option value="JO">Jordan</option> <option value="KZ">Kazakhstan</option> <option value="KE">Kenya</option> <option value="KR">Korea</option> <option value="KW">Kuwait</option> <option value="KG">Kyrgyzstan</option> <option value="LA">Laos</option> <option value="419">Latin America</option> <option value="LV">Latvia</option> <option value="LI">Liechtenstein</option> <option value="LT">Lithuania</option> <option value="LU">Luxembourg</option> <option value="MO">Macao SAR</option> <option value="MK">Macedonia, FYRO</option> <option value="MY">Malaysia</option> <option value="MV">Maldives</option> <option value="ML">Mali</option> <option value="MT">Malta</option> <option value="MX">Mexico</option> <option value="MD">Moldova</option> <option value="MC">Monaco</option> <option value="MN">Mongolia</option> <option value="ME">Montenegro</option> <option value="MA">Morocco</option> <option value="MM">Myanmar</option> <option value="NP">Nepal</option> <option value="NL">Netherlands</option> <option value="NZ">New Zealand</option> <option value="NI">Nicaragua</option> <option value="NG">Nigeria</option> <option value="NO">Norway</option> <option value="OM">Oman</option> <option value="PK">Pakistan</option> <option value="PA">Panama</option> <option value="PY">Paraguay</option> <option value="PE">Peru</option> <option value="PH">Philippines</option> <option value="PL">Poland</option> <option value="PT">Portugal</option> <option value="PR">Puerto Rico</option> <option value="RE">Réunion</option> <option value="RO">Romania</option> <option value="RU">Russia</option> <option value="RW">Rwanda</option> <option value="SA">Saudi Arabia</option> <option value="SN">Senegal</option> <option value="RS">Serbia</option> <option value="SG">Singapore</option> <option value="SK">Slovakia</option> <option value="SI">Slovenia</option> <option value="SO">Somalia</option> <option value="ZA">South Africa</option> <option value="ES">Spain</option> <option value="LK">Sri Lanka</option> <option value="SE">Sweden</option> <option value="CH">Switzerland</option> <option value="TW">Taiwan</option> <option value="TJ">Tajikistan</option> <option value="TH">Thailand</option> <option value="TT">Trinidad and Tobago</option> <option value="TN">Tunisia</option> <option value="TR">Türkiye</option> <option value="TM">Turkmenistan</option> <option value="UA">Ukraine</option> <option value="AE">United Arab Emirates</option> <option value="GB">United Kingdom</option> <option selected="selected" value="US">United States</option> <option value="UY">Uruguay</option> <option value="UZ">Uzbekistan</option> <option value="VE">Venezuela</option> <option value="VN">Vietnam</option> <option value="001">World</option> <option value="YE">Yemen</option> </select> </span> </label> </div> </div> <div id="mn-memberapp-mail" class="mn-section"> <h3>Mailing Address</h3> <div id="mn-memberapp-mailadrssame" class="mn-form-row"> <label> <span class="mn-form-field"><input class="mn-form-check" id="NewMemberInfo_MemMailAdrsIsPhysAdrs" name="NewMemberInfo.MemMailAdrsIsPhysAdrs" type="checkbox" value="true" /><input name="NewMemberInfo.MemMailAdrsIsPhysAdrs" type="hidden" value="false" /></span> <span class="mn-form-name">Same as physical address</span> </label> </div> <div id="mn-memberapp-mailadrs1" class="mn-form-row mn-memberappadrs1 mn-memberapp-mailadrssame-toggle"> <label> <span class="mn-form-name"> Line 1: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="40" name="NewMemberInfo.MemMailAdrs1" size="45" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-mailadrs2" class="mn-form-row mn-memberappadrs2 mn-memberapp-mailadrssame-toggle"> <label> <span class="mn-form-name">Line 2:</span> <span class="mn-form-field"><input class="mn-form-text" maxlength="40" name="NewMemberInfo.MemMailAdrs2" size="45" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-mailcity" class="mn-form-row mn-memberappcity mn-memberapp-mailadrssame-toggle"> <label> <span class="mn-form-name"> City: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="30" name="NewMemberInfo.MemMailCity" size="20" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-mailstate" class="mn-form-row mn-memberappstate mn-memberapp-mailadrssame-toggle"> <label> <span class="mn-form-name"> State: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="20" name="NewMemberInfo.MemMailState" size="2" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-mailzip" class="mn-form-row mn-memberappzip mn-memberapp-mailadrssame-toggle"> <label> <span class="mn-form-name"> Postal Code: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="15" name="NewMemberInfo.MemMailZip" size="11" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-mailcountry" class="mn-form-row mn-memberappcountry mn-memberapp-mailadrssame-toggle"> <label> <span class="mn-form-name"> Country: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"> <select class="mn-form-dropdown" id="NewMemberInfo_MemMailCountry" name="NewMemberInfo.MemMailCountry"><option value="">--- Select Country ---</option> <option value="AF">Afghanistan</option> <option value="AL">Albania</option> <option value="DZ">Algeria</option> <option value="AR">Argentina</option> <option value="AM">Armenia</option> <option value="AU">Australia</option> <option value="AT">Austria</option> <option value="AZ">Azerbaijan</option> <option value="BS">Bahamas</option> <option value="BH">Bahrain</option> <option value="BD">Bangladesh</option> <option value="BE">Belgium</option> <option value="BZ">Belize</option> <option value="BM">Bermuda</option> <option value="BM">Bermuda</option> <option value="BT">Bhutan</option> <option value="BO">Bolivia</option> <option value="BA">Bosnia and Herzegovina</option> <option value="BW">Botswana</option> <option value="BR">Brazil</option> <option value="VG">British Virgin Islands</option> <option value="BN">Brunei</option> <option value="BG">Bulgaria</option> <option value="KH">Cambodia</option> <option value="CM">Cameroon</option> <option value="CA">Canada</option> <option value="029">Caribbean</option> <option value="CL">Chile</option> <option value="CN">China</option> <option value="CO">Colombia</option> <option value="CD">Congo (DRC)</option> <option value="CR">Costa Rica</option> <option value="CI">Côte d’Ivoire</option> <option value="HR">Croatia</option> <option value="CU">Cuba</option> <option value="CZ">Czechia</option> <option value="DK">Denmark</option> <option value="DO">Dominican Republic</option> <option value="EC">Ecuador</option> <option value="EG">Egypt</option> <option value="SV">El Salvador</option> <option value="ER">Eritrea</option> <option value="EE">Estonia</option> <option value="ET">Ethiopia</option> <option value="FO">Faroe Islands</option> <option value="FI">Finland</option> <option value="FR">France</option> <option value="GE">Georgia</option> <option value="DE">Germany</option> <option value="GH">Ghana</option> <option value="GR">Greece</option> <option value="GL">Greenland</option> <option value="GT">Guatemala</option> <option value="HT">Haiti</option> <option value="HN">Honduras</option> <option value="HK">Hong Kong SAR</option> <option value="HU">Hungary</option> <option value="IS">Iceland</option> <option value="IN">India</option> <option value="ID">Indonesia</option> <option value="IE">Ireland</option> <option value="IL">Israel</option> <option value="IT">Italy</option> <option value="JM">Jamaica</option> <option value="JP">Japan</option> <option value="JO">Jordan</option> <option value="KZ">Kazakhstan</option> <option value="KE">Kenya</option> <option value="KR">Korea</option> <option value="KW">Kuwait</option> <option value="KG">Kyrgyzstan</option> <option value="LA">Laos</option> <option value="419">Latin America</option> <option value="LV">Latvia</option> <option value="LI">Liechtenstein</option> <option value="LT">Lithuania</option> <option value="LU">Luxembourg</option> <option value="MO">Macao SAR</option> <option value="MK">Macedonia, FYRO</option> <option value="MY">Malaysia</option> <option value="MV">Maldives</option> <option value="ML">Mali</option> <option value="MT">Malta</option> <option value="MX">Mexico</option> <option value="MD">Moldova</option> <option value="MC">Monaco</option> <option value="MN">Mongolia</option> <option value="ME">Montenegro</option> <option value="MA">Morocco</option> <option value="MM">Myanmar</option> <option value="NP">Nepal</option> <option value="NL">Netherlands</option> <option value="NZ">New Zealand</option> <option value="NI">Nicaragua</option> <option value="NG">Nigeria</option> <option value="NO">Norway</option> <option value="OM">Oman</option> <option value="PK">Pakistan</option> <option value="PA">Panama</option> <option value="PY">Paraguay</option> <option value="PE">Peru</option> <option value="PH">Philippines</option> <option value="PL">Poland</option> <option value="PT">Portugal</option> <option value="PR">Puerto Rico</option> <option value="RE">Réunion</option> <option value="RO">Romania</option> <option value="RU">Russia</option> <option value="RW">Rwanda</option> <option value="SA">Saudi Arabia</option> <option value="SN">Senegal</option> <option value="RS">Serbia</option> <option value="SG">Singapore</option> <option value="SK">Slovakia</option> <option value="SI">Slovenia</option> <option value="SO">Somalia</option> <option value="ZA">South Africa</option> <option value="ES">Spain</option> <option value="LK">Sri Lanka</option> <option value="SE">Sweden</option> <option value="CH">Switzerland</option> <option value="TW">Taiwan</option> <option value="TJ">Tajikistan</option> <option value="TH">Thailand</option> <option value="TT">Trinidad and Tobago</option> <option value="TN">Tunisia</option> <option value="TR">Türkiye</option> <option value="TM">Turkmenistan</option> <option value="UA">Ukraine</option> <option value="AE">United Arab Emirates</option> <option value="GB">United Kingdom</option> <option selected="selected" value="US">United States</option> <option value="UY">Uruguay</option> <option value="UZ">Uzbekistan</option> <option value="VE">Venezuela</option> <option value="VN">Vietnam</option> <option value="001">World</option> <option value="YE">Yemen</option> </select> </span> </label> </div> </div> <div id="mn-memberapp-mbrsocialnetwork" class="mn-section mn-memberapp-mbrsocialnetwork"> <div class="mn-form-title"> Social Networking: </div> <div class="mn-form-row mn-form-textcombo"> <label class="mn-memberapp-mbrsocialnetwork1"> <span class="mn-form-name">LinkedIn</span> <span class="mn-form-field"><input class="mn-form-text" data-value="http://linkedin.com/in/" maxlength="100" name="MbrSocialNetworkID_1" size="40" type="text" value="http://linkedin.com/in/" /></span> </label> <label class="mn-memberapp-mbrsocialnetwork2"> <span class="mn-form-name">Facebook</span> <span class="mn-form-field"><input class="mn-form-text" data-value="http://facebook.com/pages/" maxlength="100" name="MbrSocialNetworkID_2" size="40" type="text" value="http://facebook.com/pages/" /></span> </label> <label class="mn-memberapp-mbrsocialnetwork11"> <span class="mn-form-name">Twitter</span> <span class="mn-form-field"><input class="mn-form-text" data-value="http://twitter.com/" maxlength="100" name="MbrSocialNetworkID_11" size="40" type="text" value="http://twitter.com/" /></span> </label> <label class="mn-memberapp-mbrsocialnetwork12"> <span class="mn-form-name">YouTube</span> <span class="mn-form-field"><input class="mn-form-text" data-value="http://www.youtube.com" maxlength="100" name="MbrSocialNetworkID_12" size="40" type="text" value="http://www.youtube.com" /></span> </label> <label class="mn-memberapp-mbrsocialnetwork13"> <span class="mn-form-name">Pinterest</span> <span class="mn-form-field"><input class="mn-form-text" data-value="http://www.pinterest.com" maxlength="100" name="MbrSocialNetworkID_13" size="40" type="text" value="http://www.pinterest.com" /></span> </label> <label class="mn-memberapp-mbrsocialnetwork14"> <span class="mn-form-name">Instagram</span> <span class="mn-form-field"><input class="mn-form-text" data-value="http://www.instagram.com" maxlength="100" name="MbrSocialNetworkID_14" size="40" type="text" value="http://www.instagram.com" /></span> </label> <label class="mn-memberapp-mbrsocialnetwork15"> <span class="mn-form-name">GooglePlus</span> <span class="mn-form-field"><input class="mn-form-text" data-value="http://www.plus.google.com" maxlength="100" name="MbrSocialNetworkID_15" size="40" type="text" value="http://www.plus.google.com" /></span> </label> </div> </div> </div> <div id="mn-memberapp-prirep" class="mn-section"> <div class="mn-section-head"> <div class="mn-section-head-text">Primary Contact Information</div> </div> <div class="mn-section-content"> <div id="mn-memberapp-prirepfirstname" class="mn-form-row mn-memberapp-repfirstname"> <label> <span class="mn-form-name"> First Name: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="50" name="NewMemberInfo.PriRepFirstName" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-prireplastname" class="mn-form-row mn-memberapp-replastname"> <label> <span class="mn-form-name"> Last Name: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="50" name="NewMemberInfo.PriRepLastName" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-prireptitle" class="mn-form-row mn-memberapp-reptitle"> <label> <span class="mn-form-name"> Title: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="50" name="NewMemberInfo.PriRepTitle" size="45" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-prirepphone" class="mn-form-row mn-memberapp-repphone"> <label> <span class="mn-form-name"> Phone: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="30" name="NewMemberInfo.PriRepPhone" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-prirepcellphone" class="mn-form-row mn-memberapp-repcellphone"> <label> <span class="mn-form-name"> Cell Phone: </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="30" name="NewMemberInfo.PriRepCellPhone" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-prirepemail" class="mn-form-row mn-memberapp-repemail"> <label> <span class="mn-form-name"> Email: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="80" name="NewMemberInfo.PriRepEMail" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-prirepcontactpref" class="mn-form-row mn-memberapp-repcontactpref"> <div class="mn-form-title">Contact Preference:</div> <div class="mn-form-combo mn-form-radiocombo"> <label id="mn-memberapp-prirepcontactprefEmail" class="mn-memberapp-repcontactprefEmail"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.PriRepContactPref" type="radio" value="EMail" /></span> <span class="mn-form-name">Email</span> </label> <label id="mn-memberapp-prirepcontactprefPhone" class="mn-memberapp-repcontactprefPhone"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.PriRepContactPref" type="radio" value="Phone" /></span> <span class="mn-form-name">Phone</span> </label> </div> </div> <div id="mn-memberapp-prireplogin" class="mn-form-row mn-memberapp-replogin"> <label> <span class="mn-form-name"> Login: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" id="Login" maxlength="45" name="NewMemberInfo.PriRepLogin" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-prireppwd" class="mn-form-row mn-memberapp-reppwd"> <label> <span class="mn-form-name"> Password: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input autocomplete="off" class="mn-form-text" id="Password" name="NewMemberInfo.PriRepPwd" type="password" /></span> </label> </div> <div class="mn-actions"> <ul> <li class="mn-action-availability"><input class="mn-button" type="button" value="Check Availability" data-login="PriRepLogin" data-pwd="PriRepPwd" /></li> </ul> <div class="mn-verify-message"></div> </div> </div> </div> <div id="mn-memberapp-billrep" class="mn-section"> <div class="mn-section-head"> <div class="mn-section-head-text">Billing Contact Information</div> </div> <div class="mn-section-content"> <div id="mn-memberapp-billrepsame" class="mn-form-row"> <label> <span class="mn-form-field"><input class="mn-form-check" name="NewMemberInfo.PriRepIsBillRep" type="checkbox" value="true" /><input name="NewMemberInfo.PriRepIsBillRep" type="hidden" value="false" /></span> <span class="mn-form-name">Same as Primary Contact</span> </label> </div> <div id="mn-memberapp-billrepfirstname" class="mn-form-row mn-memberapp-repfirstname mn-memberapp-billrepsame-toggle"> <label> <span class="mn-form-name"> First Name: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="50" name="NewMemberInfo.BillRepFirstName" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-billreplastname" class="mn-form-row mn-memberapp-replastname mn-memberapp-billrepsame-toggle"> <label> <span class="mn-form-name"> Last Name: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="50" name="NewMemberInfo.BillRepLastName" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-billreptitle" class="mn-form-row mn-memberapp-reptitle mn-memberapp-billrepsame-toggle"> <label> <span class="mn-form-name"> Title: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="50" name="NewMemberInfo.BillRepTitle" size="48" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-billrepphone" class="mn-form-row mn-memberapp-repphone mn-memberapp-billrepsame-toggle"> <label> <span class="mn-form-name"> Phone: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="30" name="NewMemberInfo.BillRepPhone" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-billrepcellphone" class="mn-form-row mn-memberapp-repcellphone mn-memberapp-billrepsame-toggle"> <label> <span class="mn-form-name"> Cell Phone: </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="30" name="NewMemberInfo.BillRepCellPhone" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-billrepemail" class="mn-form-row mn-memberapp-repemail mn-memberapp-billrepsame-toggle"> <label> <span class="mn-form-name"> Email: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="80" name="NewMemberInfo.BillRepEMail" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-billrepcontactpref" class="mn-form-row mn-memberapp-repcontactpref mn-memberapp-billrepsame-toggle"> <div class="mn-form-title">Contact Preference:</div> <div class="mn-form-combo mn-form-radiocombo"> <label id="mn-memberapp-billrepcontactprefEmail" class="mn-memberapp-repcontactprefEmail"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.BillRepContactPref" type="radio" value="EMail" /></span> <span class="mn-form-name">Email</span> </label> <label id="mn-memberapp-billrepcontactprefPhone" class="mn-memberapp-repcontactprefPhone"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.BillRepContactPref" type="radio" value="Phone" /></span> <span class="mn-form-name">Phone</span> </label> </div> </div> <div id="mn-memberapp-billreplogin" class="mn-form-row mn-memberapp-replogin mn-memberapp-billrepsame-toggle"> <label> <span class="mn-form-name"> Login: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input class="mn-form-text" maxlength="45" name="NewMemberInfo.BillRepLogin" type="text" value="" /></span> </label> </div> <div id="mn-memberapp-billreppwd" class="mn-form-row mn-memberapp-reppwd mn-memberapp-billrepsame-toggle"> <label> <span class="mn-form-name"> Password: <span class="mn-form-req" title="Required field">*</span> </span> <span class="mn-form-field"><input autocomplete="off" class="mn-form-text" name="NewMemberInfo.BillRepPwd" type="password" /></span> </label> </div> <div class="mn-actions mn-memberapp-billrepsame-toggle"> <ul> <li class="mn-action-availability"><input class="mn-button" type="button" value="Check Availability" data-login="BillRepLogin" data-pwd="BillRepPwd" /></li> </ul> <div class="mn-verify-message"></div> </div> </div> </div> <div id="mn-memberapp-memopts" class="mn-section"> <div class="mn-section-head"> <div class="mn-section-head-text">Membership Options</div> </div> <div class="mn-section-content"> <div id="mn-memberapp-package" class="mn-form-row"> <div class="mn-form-title"> Membership Package: <span class="mn-form-req" title="Required field">*</span> </div> <div class="mn-form-combo mn-form-radiocombo"> <label id="mn-memberapp-package1"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="1" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Industry 1-3 Employees</span>: <span class="mn-memberapp-pkgfee"> $400.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package2"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="2" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Industry 4-15 Employees</span>: <span class="mn-memberapp-pkgfee"> $800.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package3"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="3" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Industry 16-50 Employees</span>: <span class="mn-memberapp-pkgfee"> $1,200.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package4"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="4" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Industry 51-100 Employees</span>: <span class="mn-memberapp-pkgfee"> $2,100.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package5"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="5" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Industry 101-250 Employees</span>: <span class="mn-memberapp-pkgfee"> $2,750.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package6"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="6" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Industry 251-500 Employees</span>: <span class="mn-memberapp-pkgfee"> $4,250.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package7"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="7" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Industry 501-1000 Employees</span>: <span class="mn-memberapp-pkgfee"> $5,750.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package8"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="8" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Industry 1001+ Employees</span>: <span class="mn-memberapp-pkgfee"> $6,700.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package9"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="9" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Associate 1-3 Employees</span>: <span class="mn-memberapp-pkgfee"> $575.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package10"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="10" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Associate 4-15 Employees</span>: <span class="mn-memberapp-pkgfee"> $1,100.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package11"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="11" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Associate 16-50 Employees</span>: <span class="mn-memberapp-pkgfee"> $1,700.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package12"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="12" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Associate 51-100 Employees</span>: <span class="mn-memberapp-pkgfee"> $3,500.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package13"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="13" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Associate 101-250 Employees</span>: <span class="mn-memberapp-pkgfee"> $5,500.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package14"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="14" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Associate 251-500 Employees</span>: <span class="mn-memberapp-pkgfee"> $7,000.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package15"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="15" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Associate 501-1000 Employees</span>: <span class="mn-memberapp-pkgfee"> $7,900.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package16"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="16" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Associate 1001+ Employees</span>: <span class="mn-memberapp-pkgfee"> $9,000.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package17"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="17" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Gov. Non-Profit or Academic 1-3 Employees</span>: <span class="mn-memberapp-pkgfee"> $500.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package18"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="18" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Gov. Non-Profit or Academic 4-15 Employees</span>: <span class="mn-memberapp-pkgfee"> $500.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package19"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="19" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Gov. Non-Profit or Academic 16-50 Employees</span>: <span class="mn-memberapp-pkgfee"> $500.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package20"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="20" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Gov. Non-Profit or Academic 51-100 Employees</span>: <span class="mn-memberapp-pkgfee"> $500.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package21"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="21" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Gov. Non-Profit or Academic 101-250 Employees</span>: <span class="mn-memberapp-pkgfee"> $850.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package22"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="22" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Gov. Non-Profit or Academic 251-500 Employees</span>: <span class="mn-memberapp-pkgfee"> $1,400.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package23"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="23" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Gov. Non-Profit or Academic 501-1000 Employees</span>: <span class="mn-memberapp-pkgfee"> $1,700.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package24"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="24" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Gov. Non-Profit or Academic 1001+ Employees</span>: <span class="mn-memberapp-pkgfee"> $1,700.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package25"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="25" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Industry 1-3 Employees</span>: <span class="mn-memberapp-pkgfee"> $400.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package26"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="26" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Industry 4-15 Employees</span>: <span class="mn-memberapp-pkgfee"> $800.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package27"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="27" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Industry 16-50 Employees</span>: <span class="mn-memberapp-pkgfee"> $1,200.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package28"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="28" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Industry 51-100 Employees</span>: <span class="mn-memberapp-pkgfee"> $2,100.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package29"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="29" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Industry 101-250 Employees</span>: <span class="mn-memberapp-pkgfee"> $2,750.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package30"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="30" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Industry 251-500 Employees</span>: <span class="mn-memberapp-pkgfee"> $4,250.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package31"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="31" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Industry 501-1000 Employees</span>: <span class="mn-memberapp-pkgfee"> $5,750.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package32"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="32" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Industry 1000+ Employees</span>: <span class="mn-memberapp-pkgfee"> $6,700.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package33"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="33" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Associate 1-3 Employees</span>: <span class="mn-memberapp-pkgfee"> $575.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package34"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="34" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Associate 4-15 Employees</span>: <span class="mn-memberapp-pkgfee"> $1,100.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package35"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="35" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Associates 16-50 Employees</span>: <span class="mn-memberapp-pkgfee"> $1,700.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package36"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="36" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Associates 51-100 Employees</span>: <span class="mn-memberapp-pkgfee"> $3,500.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package37"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="37" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Associates 101-250 Employees</span>: <span class="mn-memberapp-pkgfee"> $5,500.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package38"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="38" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Associates 251-500 Employees</span>: <span class="mn-memberapp-pkgfee"> $7,000.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label id="mn-memberapp-package39"> <span class="mn-form-field"><input class="mn-form-radio" name="NewMemberInfo.MemberAppPkg" type="radio" value="39" /></span> <span class="mn-form-name"> <span class="mn-memberapp-pkgname">Tucson Associates 501-1000 Employees</span>: <span class="mn-memberapp-pkgfee"> $7,900.00 </span><br /> <span class="mn-memberapp-pkgdesc"></span> </span> </label> <label 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