Center AFFILIATE Application

How would you like to apply?

  • Online? This page begins a simple process that will allow you to apply online and pay, via a secure connection, with a credit card.
  • Via mail, phone or fax? Complete the form below. When you reach the shopping cart simply check the box for Purchase Order or Printable Order Form (Mail, Fax or Phone Orders).

Membership Fees

Before proceeding please select the appropriate category below.
Nonprofit or Government Affiliate……$900 annual membership fee
For-profit Affiliate……$1,500 annual membership fee

Payment Frequency

Monthly Installments Annual Payment

Cancellation Policy

We understand that we may cancel our Affiliate status at any time. If we elect to cancel, we understand that our credit card will be billed until the anniversary of enrollment, and that cancellation requests should be made in writing to Kay Nakamura via e-mail.

We understand that Affiliate status will automatically renew on the anniversary of enrollment unless we provide written notice of cancellation.

Questions?

Kay Nakamura via e-mail or by phone at (202) 785-3891

Affiliate Information

(Bold denotes required information)

E-mail Address:

If you have previously registered with the Center enter your email address and click the Refresh button.
Verify Email  
First Name:
Last Name:
Title:
Organization:
Street Address:
 
City:
State: (US, CA, MX only)
Postal Code:
Country: 
Telephone:
Fax:
Password  
Verify Password  
Password Recovery Question
Password Recovery Response  
Organization Contact Information Same as above
Best Contact Name:
Best Contact Phone:
Organization Size: (e.g., number of members, chapters, or branches)
I have read and agree to the Affiliate Enrollment Agreement.