Membership: Individual Level Please fill out the form below to become a Member at the Individual level. Notice: JavaScript is required for this content. Fields marked with an * are required Date First Name * Maiden Name Last Name * Email * Class Year * Street Address Apt / Suite No. City State Alabama Alaska Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Arizona Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey Arkansas New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina California South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Colorado ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST ARMED FORCES AMERICA (EXCEPT CANADA) ARMED FORCES PACIFIC Connecticut Delaware Florida Georgia Zip How can you help the Foundation? * If you prefer that your name not be included in publicity as a donor, initial below: Divider HTML Membership Dues: Regular Membership (per person per year) $25 Divider HTML When you click the Submit Membership button your information will be submitted to the CHS Foundation and you will be re-directed to the Membership payment link page.