Global Connections

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* Mandatory fields

*First name

Please provide the first name you would like to be referred to as while a member of Global Connections

*Last name

*Email

Please provide the best email you would like to be communicated with by the Global Connections Organization.

*Best Phone Number

Please provide the best phone number for Global Connections to reach you with if necessary. The primary form of communication will be email.

Mailing Address

*Amount ($USD)

*Payment frequency

One-time

Monthly

Quarterly

Semi-annually

Annually

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