MembershipDownload a PRINTABLE version ZAGNY Membership Types & Rates for 2024* Family (includes children under the age of 18): $200 Individual (Non-student age 18 to 64): $100 Student (Full time student, age 18 to 25): $40 Senior Couple (full rate) (Both age 65 and over): $200 Senior Individual (Age 65 and over): $100 Non Resident family: $50 *In case of Financial Hardship please contact vicepresident@zagny.orgPersonal InformationName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Name of Spouse (if applicable) Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Choose Your Membership (Get 10% Discount when you sign up for 3 Years) Family (Includes Children Under 18)Select from BelowFamily (1 Year)Family (3 Years)Individual (Non-Student Age 18 to 64)Select from BelowIndividual (1 Year)Individual (3 Years)Senior Couple (Both Ages 65 and over)Select from BelowSenior Couple (1 Year)Senior Couple (3 Years)Senior Individual (Age 65 and over)Select from BelowSenior Individual (1 Year)Senior Individual (3 Years)Student (Full Time, Age 18 to 25)Select from BelowStudent (1 Year)Strudent (3 Years)Non Resident (Individual / Family)Select from BelowNon Resident (1 Year)Non Resident (3 Years)Lifetime Membership (NEW)Select from BelowFamily (Includes Children Under 18) - $4,000Senior Couple (Both Ages 65 and over) - $3,000Individual (Non-Student Age 18+) - $2,000To avoid the 3.5% transaction fee please feel free to download the PRINTABLE form and pay by check. Email - Self* Phone*Email - Spouse Email - Child #1 Email - Child #2 Email - Child #3 Email - Child #4 ZAGNY Newsletters and Email List*If you are not subscribed to ZAGNY Newsletters and Email List, can we add your email addresses to that list? Already subscribed Yes No ZAGNY Online Directory*ZAGNY Directory is now online at https://zagny.breezechms.com My Information is in Online Directory Help me Add / Update my Information (we will contact you) DonationPlease consider donating to the following funds (USD):General Critical Assistance Scholarship Library Children's Classroom & Activities Subscription to FEZANA Journal US/CANADA Print - 1 year US/CANADA Print - 2 years US/CANADA Print - 3 years Billing InformationSubtotal $0.00 Card Processing Fees $0.00 As a non-profit every bit helps. You will be charged a credit card transaction fee of 3.5% Total $0.00 HiddenCard Processing Fees* Yes Sure !!! No Credit Card*Card Details Cardholder Name Address for Credit Card* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country EmailThis field is for validation purposes and should be left unchanged. Δ