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Membership Type	NABTP Membership (1 yr) ($50.00) - NABTP One Year Membership
Payment System	Authorize.Net Web Payment - credit card via authorize.net
Your Name Your First & Last name
Your E-Mail Address A confirmation email will be sent to you at this address
Choose a Login Name (User ID) It must be 4 or more characters in length and may only contain small letters, numbers, and the underscore '_'	check for uniqueness
Choose a Password Must be 4 or more characters
Confirm your password Enter password again
Organization	Virtual Community Block Community Network of African American Telecommunications Florida Association of Black Telecommunications Professionals Consortium of Information and Telecommunications Executives Community Network of African American Telecommunications Professionals-MidWest (IL,IN,MI,OH,WI) BellSouth Network of African American Telecommunications Professionals
Address
Address (cont'd)
City
State
Zipcode
Work Phone (format: 123-123-1234)
Home Phone (format: 123-123-1234
Age	18-24 25-34 35-44 45-60 61-above
Name of Company
Business Category (choose one or more)
Career Path	employee business owner retired
Years in Telecom	1-2 3-5 6-9 10-15 16-above
Publish? Publish in NABTP Directory	YES NO

We at NABTP are your virtual telecom community.