Academy on Violence and Abuse (AVA) : MEMBERS : Membership : New Membership

First Name (Required)

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Credentials

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Address (Line 2)

3uem0trea2nk

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How did you hear about AVA

Have you already paid for and received your ACE DVD? (Required)

Membership Eligibility

By submitting this application, I verifty that I possess a current and valid professional license (if applicable), am in good standing in my other professional societies or organizations and am committed to the Academy’s Mission and Vision.

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If you have already paid for your Membership, please select 'pay by check'

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Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

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