Student Membership

Student members are enrolled as a postsecondary undergraduate or graduate student. After submitting payment, please send documentation verifying current student enrollment to webmaster@familyscienceassociation.org.

Name:*

First Name Required Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Institution:* Institution is Required

Position: Position is not valid

Department:* Department is Required

Preferred email for communication:* Preferred email for communication is Required

Preferred name (to display on nametag):* Preferred name (to display on nametag) is Required

Office Phone:* Office Phone is Required

Cell/Home Phone:* Cell/Home Phone is Required

Student Status (graduate/undergraduate): Student Status (graduate/undergraduate) is not valid

Username:* Invalid Username

Email:* Invalid Email

Pay via your PayPal account

No val Please fix the errors above

Pay Family Science Association

$35

	Student Membership – Payment $35	$35.00
	Total	$35.00

Student Membership – Payment

$35

$35.00

Total

$35.00