First-Time Student Membership

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

Sponsor/Reference Name:* Sponsor/Reference Name is Required

Primary Forensic Discipline:* Primary Forensic Discipline is Required

Employer:* Employer is Required

Phone:* Phone is Required

e-Signature:* e-Signature is Required

Proof of Enrollment:* Proof of Enrollment is Required

Have you been a member of the PNWD-IAI in the past:* Have you been a member of the PNWD-IAI in the past is Required

No Yes

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Very Strong" or stronger

Description	Amount
First-Time Student Membership – Payment	$42.50
Total	$42.50

Invoice (Check or Credit Card) - expect slight delay in receiving invoice

NEW MEMBERSHIP - an invoice payable by Credit Card or Check will be sent to your email via Quickbooks once your application is processed.
MEMBERSHIP RENEWAL - payment can be made by PayPal, Credit Card, or Check. For Credit Card (not through PayPal) or Check - please select the Invoice option.
INVOICE - An invoice payable by Credit Card or Check will be sent to your email via Quickbooks once your application is processed. There will be a time delay of multiple days with this option.
PAYPAL - Payments can be made immediately.
BATCH INVOICING - If your agency pays for multiple individuals at one time, please select the INVOICE option. Upon receipt of your individual invoice - forward to your agency's payor. Please also have your payor email membership@pnwdiai.org with a list of members included in the batch invoice.

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First-Time Student Membership

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First-Time Student Membership

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