Online Membership

Online Membership Registration

Is this a new membership or are you renewing?

Who is this membership for?

Membership Information

Primary Member Full Name

First NameLast NameSuffix (Jr, Sr, III, etc.)

Primary Member Phone Number

Format: (000) 000-0000.

Primary Member Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Secondary Member Full Name (Household Membership and up)

First NameLast NameSuffix (Jr, Sr, III, etc.)

Secondary Member Email

example@example.com

How would you like your name(s) to appear on your membership card, mailings, and in The AGB magazine? (Ex. Dr. John and Ms. Jane Doe, Mr. and Mrs. John Doe, John and Jane Doe, John Smith and Jane Doe, John Doe, etc.)

(For Household Memberships and higher, please include both member names, if applicable)

Select a membership level:

Individual Membership (annual)

Annual Billing (Auto-renews)

$50.00 for each year

Household Membership (annual)

Annual Billing (Auto-renews)

$80.00 for each year

Sponsor Membership (annual)

Annual Billing (Auto-renews)

$120.00 for each year

Sponsor Membership (monthly)

Monthly Billing (Auto-renews)

$10.00 for each month

Homeschool Advocate (annual)

Annual Billing (Auto-renews)

$130.00 for each year

Homeschool Advocate (monthly)

Monthly Billing (Auto-renews)

$11.00 for each month

Advocate Membership (annual)

Annual Billing (Auto-renews)

$250.00 for each year

Advocate Membership (monthly)

Monthly Billing (Auto-renews)

$21.00 for each month

Benefactor Membership (annual)

Annual Billing (Auto-renews)

$500.00 for each year

Benefactor Membership (monthly)

Monthly Billing (Auto-renews)

$42.00 for each month

Patrons Membership (annual)

Annual Billing (Auto-renews)

$1,000.00 for each year

Patrons Membership (monthly)

Monthly Billing (Auto-renews)

$83.00 for each month

Gold Patrons Membership (annual)

Annual Billing (Auto-renews)

$2,500.00 for each year

Platinum Patrons Membership (annual)

Annual Billing (Auto-renews)

$5,000.00 for each year

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Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Purchaser Information

Purchaser Full Name

First NameLast NameSuffix (Jr, Sr, III, etc.)

Purchaser Phone Number

Format: (000) 000-0000.

Purchaser Email

example@example.com

Purchaser Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

How did you hear about Membership at The AGB?

FSC Faculty & Staff: Please add your department below.

My employer offers a matching gift program.

Your Employer

Homeschoolers and teachers must provide current documentation.

Select a membership level:*

Select a membership level: