If you are unable to open the Application above,
you can print this page and complete the application below:
Full Name: ________________________________________________________________
Company:
________________________________________________________________
Mailing Address:
___________________________________________________________
City, State, Zip:
____________________________________________________________
Country:
_________________________________________________________________
Office Phone:
_____________________________________________________________
Home Phone:
_____________________________________________________________
E-mail:
__________________________________________________________________
Referring Website: _________________________________________________________
Sponsor (Optional):
________________________________________________________
Membership Categories: (Check One)
[__] . . . . . . . . . . . . . . . . Ten Year Membership - $497 (US)
[__]. . . . . . . . . . . . . . . . Five Year Membership - $297 (US)
[__]. . . . . . . . . . . . . . . Three Year Membership - $209 (US)
[__]. . . . . . . . . . . . . . . . One Year Membership - $100 (US)
* Note: State/Regional dues are paid separately and vary as established by the State/Regional Board of Directors. All memberships are subject to the "CSA Code of Ethics" that is based on the "Golden Rule" & Judeo-Christian principles as defined by the Founder's Council. The investment for all memberships may be changed without advanced notice, but generally a 60 day notice will be given to current members.
