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NYSNYS 1-Year Individual

NYSNYS 3-Year Individual

NYSNYS 1-Year Organizational (2-10)

NYSNYS 1-Year Organizational (11-15)

NYSNYS 1-Year Organizational (16-20)

NYSNYS 1-Year Organizational (21-50)

NYSNYS 1-Year Organizational (51-75)

NYSNYS 1-Year Organizational (76-100)

I would like to automatically renew my membership (only available for credit card payments).

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First Name *

Last Name *

Preferred Name

Individual Memberships

NOTE - If you are submitting an INDIVIDUAL membership, skip the checkbox "Submit as an organization". This should ONLY be checked for ORGANIZATIONAL memberships.

Submit as an organization

Organization Name *

Job Title

Pronoun

Email Address *

Phone 1

Address Line 1 *

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City *

State/Province *

Zip/Postal Code *

Country

National AfterSchool Association (NAA) Membership *

Yes

Are you Interested in the free NAA membership? Please indicate yes or no below. By choosing “YES,” you’re granting permission for us to share your information with NAA so they can create a membership for you.

Have you signed up for our Listserv? *

Yes

Complete this step now before continuing with the application. Sign up to receive updates on the afterschool field. Open in a new window: https://networkforyouthsuccess.org/join-listserv/ Select "Statewide" and any other listserv(s) that may interest you

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Password *

Retype Password

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Include a company member

{{subMemberDisplayName}} {{index+1}}: {{getSubMemberName(index)}}

Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership (only available for credit card payments).

First Name *

Last Name *

Preferred Name

Job Title

Birthday

Pronoun

If Another not listed, please enter pronoun

Email *

Phone 1

Add {{subMemberDisplayName}}

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{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{sm.userName}} ({{subMemberDisplayName}})

{{sm.startDate}} - {{sm.endDate}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

Event: {{d.eventName}}

Attendee	Admission	Amount
{{a.attendeeLabel}}	{{a.admission}}	{{a.amount === 'Free' ? 'Free' : a.amount ? formatAmount(a.amount) : ''}}
	{{s.sessionLabel}}	{{s.amount === 'Free' ? 'Free' : s.amount ? formatAmount(s.amount) : ''}}

{{this.formCurrency.sign}} Donation {{formatAmount(orderSummary.donationAmount)}}

Frequency selected: {{recurringUnitDescription || recurringUnitText}}. Next add-on payment processes on {{orderSummary.recurringDonationNextDate}} for {{formatAmount(orderSummary.donationAmount)}}

Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Discounts -{{formatAmount(orderSummary.discountTotal)}}

Subtotal {{formType==='PRODUCT' ? formatAmount(productNetSubtotal(orderSummary)) : formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Delivery Cost {{formatAmount(orderSummary.deliveryCost || 0)}}

Tax {{formatAmount(orderSummary.tax)}}

Tax {{formatAmount(orderSummary.tax || 0)}}

Tax {{formatAmount(orderSummary.taxAmount || 0)}}

Total {{formatAmount(orderSummary.total)}}

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Address Line 1

Address Line 2

City