Membership Checkout – Claremont Process Nexus

Membership Type change

You have selected the Organization membership type.

Enter the information about your organization below.

The price for membership is $50.00 per Year.

Do you have a discount code?

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Organization Name

Will be displayed on member map, public profile, and site posts.

Organization Description

Enter a short summary to let people know about your organization.

Website (e.g., https://www.mysite.com/)

Avatar

Image must be a square to display correctly. Recommended size is 256px X 256px

Yes, renew at $50.00 per Year.

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Card Number

Expiration Date

CVC

Discount Code

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