Sign Up for Your Membership Benefits

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Sign Up for Your Membership Benefits

Completing this form helps us support you! No personal information will be shared with anyone outside of the organization. After you complete this form, please look out for an email from GUSTO. You must complete the information on GUSTO in order to be given your weekly membership benefits or receive funds from AD.

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* Indicates required question

Email *

Your email

First name *

Your answer

Last Name *

Your answer

How else can we contact you? *

Please provide a phone number or social media handle

Your answer

Are you 14-17 years old?

Yes

No

Clear selection

Do you have a bank account? *

Yes

No

Submit

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