Sign Up to become an AAF Roanoke Member We’re excited you are taking this step. Please fill out the form and you will be invoiced at a later time. Questions? Email email@example.com. Step 1 of 3 0% Company Name* What Does Your Company Do? Fun Fact About Your Company Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Name* First Last Your Email* Title Daytime Phone Number*Membership Type*Corporate Membership $760Corporate Membership ($760) plus 5 Gala Tickets ($375) - $1135Small Business Membership $500Small Business Membership ($500) plus 3 Gala Tickets ($225) - $725Single Membership $200Single Membership ($200) plus 1 Gala Ticket ($75) - $275Corporate Memberships are $760 and cover 5 members. Small Business Membership are $500 and cover 3 members. Single Memberships are $200. Gala Tickets are $75 each - up to the number of seats on your membership. Your new membership will cover you and 4 other people in your team. They will receive communications from us and can act as independent members, RSVP for events, etc. Please provide their information below to the best of your ability. Your new membership will cover you and 2 other people in your team. They will receive communications from us and can act as independent members, RSVP for events, etc. Please provide their information below to the best of your ability. Member 2* First Last Email* Member 3* First Last Email* Member 4* First Last Email* Member 5* First Last Email* Click Submit below and you're all set. Based on the information you provided, we'll invoice you and you can pay by check. Your payment will cover one year of programing for the current board year, until June 30, 2020.By completing this form, you agree to pay the annual price of $760 for a Corporate Membership. By completing this form, you agree to pay the annual price of $500 for a Small Business Membership. By completing this form, you agree to pay the annual price of $200 for a Single Membership. Would you like to donate $5 to the Freddy Frelantz Scholarship Fund?*YesNoThanks! You're a hero. We'll add $5 to the invoice.Coupon Total $0.00 Payment Options* Invoice Me Pay Online Now (You Will Be Redirected to PayPal) PhoneThis field is for validation purposes and should be left unchanged.