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VJZ Individual Subscriptions

Note: Required fields are in bold.

Contact or Member Number (if known)
First Name
Last Name
Address
Address 2
City
State
Postal Code
Country
Email
Email (re-type)
 
Credit Card Information
Name on Card
Card Type
Expiration Date
Card Number

Non-member Individual ($80.00)
Member of SSSA ($50.00)
Member of GSA ($50.00)

Add CD to your subscription for $10. (International shipping is an additional $15.)

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