Membership Form

Thanks for your interest in joining AITCOY! To become a member simply fill out the information below. After hitting the "Submit" button at the bottom of this page you will be taken to another page to pay your $75 annual membership dues online.

* Indicates required field

Organization Name *

Township *

County *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Fax Number *

Website *

Name *

Position *

Name *

Position *

Are you interested in hosting a quarterly business meeting? *

Yes No

What workshop topic(s) would you like to see presented at a quarterly business meeting? *

Do you have a Committee on Youth? *

Yes No

What types of youth services do you offer? *

Membership Category *

Regular Member (associated with a township) Associate Member (non-voting, not associated with a township)

Submit and Pay Dues Online

Membership Form

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