NAME: First Name* Last Name* TERA Number: Number AERC Number: Type a label
Renewing only? If everything is the same as last year, simply fill out your name, TERA and AERC numbers above, birthdate and email below and submit. Use the Paypal button on the webpage to pay for your Membership.
If you are registering as a family, please indicate first and last names of your spouse and the names & ages of minor family members: First Name Last Name Date of Birth TERA # AERC #
First Name Last Name Date of Birth TERA # AERC #