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This form has seven sections. Fill in each section and click Next at the bottom of the form.

For US citizens, choose from the four US options.
For Canadian citizens, choose from the four Canada options.

   To move to the next step, you are accepting automatic renewal. You can change this after you become a member.

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Include a submember in your membership registration

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Select the Men's Team you are joining. If you do not know what it is select "Not Known" or if you are not on a Team select "Not on an MDI Team"
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If your team is not listed enter your team name or, if you do not know your team name, enter the names of men who are on your team so we can help put you on the correct men's team.
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How did you find out about us?
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Choose Existing Contact(s)
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{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}
{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}
Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}
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{{orderSummary.membershipOrderItem.userName}}
{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}
{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}
Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}
{{orderSummary.membershipOrderItem!=null?smIndex+2:smIndex+1}}
{{sm.userName}} ({{subMemberDisplayName}})
{{sm.cost==0?'Free':formatAmount(sm.cost)}} {{sm.termName}}
{{sm.startDate}} - {{sm.endDate}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}
Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}
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Frequency selected: {{recurringUnitText}}. Next add-on payment processes on {{orderSummary.recurringDonationNextDate}} for {{formatAmount(orderSummary.donationAmount)}}

Discount Code

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 Code:
-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}
Discounts -{{formatAmount(orderSummary.discounts)}}
Total {{formatAmount(orderSummary.total)}}
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Card
Pay Later
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Please mail your payment to:
924 Empire Rd
Poland, ME 04274
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