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Membership Application

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Membership Level
None Unable Volunteer Associate ($25) Basic ($50) Plus ($100)

Payment method
PayPal Dwolla Bill Pay Check Cash Other Set up a monthly recurring payment to hslfinances@gmail.com or via the button on the next page. Set up a monthly recurring payment to hslfinances@gmail.com or via the button on the next page. Have your bank send a monthly check to HeatSync Labs Treasurer, 140 W Main St, Mesa AZ 85201 Mail to HeatSync Labs Treasurer, 140 W Main St, Mesa AZ 85201 OR put in the drop safe at the Lab with a deposit slip firmly attached each month. Put in the drop safe at the Lab with a deposit slip firmly attached each month. Hmm... talk to a Treasurer!

Full Name *

Email
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Phone
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Residential Postal Code
(we'd like to know where you're commuting from!)

Twitter url
Facebook url
Github url
Website url

Emergency Contact Name

Emergency phone

Emergency email

What skills, knowledge and experience do you bring to the community? *

What skills, knowledge and experiences are you looking for in HeatSync? *

How'd you find out about HeatSync? *

Password

Password confirmation

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