Senior Members - C.G. Jung Society, Seattle

Terms:

$35 / Year

First Name: First Name Required

Last Name: 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

Status: Status is not valid

Field / Profession: Field / Profession is not valid

Member Since: Member Since is not valid

Year of Birth: Year of Birth is not valid

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

Description	Amount
Senior Members – Initial Payment	$35.00
Total	$35.00

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