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Membership Subsidy

2024 Application for Membership Subsidy
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Thank you for applying for the Membership Subsidy.  This subsidy is designed to assist lapsed/imminently lapsing members with maintaining their membership in American Mensa.  Please answer all of the below questions to the best of your ability and answer with ‘N/A’ if necessary.  Please note that all information, including the fact that you’ve applied, will be kept confidential.

2. Preferred Contact Information

– leave blank if you would prefer we do not contact you.  The dues subsidy will be paid to the national office by membership number and will not require you to identify yourself.  The announcement of the winning applicant will be made by membership number only.

3. What was the main cause of your lapsed membership? (select one)