Student

By The Advertising Club of New York | January 28, 2021

Terms:

$50 / Year

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Last Name:* Last Name Required

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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

Your Title:* Your Title is Required

Organization:* Organization is Required

Mobile:* Mobile is Required

Alternate Email: Alternate Email is not valid

IM Handle/Type: IM Handle/Type is not valid

Are you Self Employed: Are you Self Employed is not valid

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Your Profession:* Your Profession is Required

Website Address:* Website Address is Required

Company Type:* Company Type is Required

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Method of contact:* Method of contact is Required

Twitter Handle: Twitter Handle is not valid

Linkedin:* Linkedin is Required

AD CLUB FELLOW:* AD CLUB FELLOW is Required

Yes No

Corporate Designee (Are you the primary contact for this membership plan?):* Corporate Designee (Are you the primary contact for this membership plan?) is Required

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Terms: $50 / Year

Description	Amount
Student – Initial Payment	$50.00
Total	$50.00

Debit/Credit Card

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