MEMBERSHIP UPGRADE Membership(Required) 1 Year to 10 Years Upgrade 2 Years to 10 Years Upgrade Name(Required) First Last Credential(Required) Email(Required) Phone(Required)Address(Required) Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Highest Degree Earned(Required) Years of experience 0-5 Years 6-10 Years 11-15 Years 16-20 Years 21-30 Years 30+ Years Do you have any plans for further education?(Required)Select oneYesNoYour preference of University/College?(Required) Membership Upgrade(Required)Select one1 Year to 10 Years Membership Upgrade - $3502 Years to 10 Years Membership Upgrade - $300.00Total When you click 'SUBMIT' you will be taken to PayPal page for completing the payment. You may sign in to your PayPal account(if you have one) or use the option "Credit/Debit Card Payment". When you complete the payment, PayPal will send you a payment confirmation email. AZINA will also send an email. Please save both emails for your records.CommentsThis field is for validation purposes and should be left unchanged.