Membership Form
Name
Mr.
Mrs.
Dr.
Prof.
Prefix
First Name
Middle Name
Last Name
Primary Email
*
example@example.com
Personal Email
example@example.com
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Discipline
*
Please Select
Anthropology
Business and Economics
Engineering
History
Linguistics and Literature
Music
Political Science
Psychology
Sports Management
Sociology
Other
Institution
Membership Category
Non Africa base Faculty or Professional $25
Non Africa base Faculty or Professional $10
Non Africa base Studebt $25
Africa base Student $5
Submit
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