Membership Application ⇽ Lanyard Sponsor | Utah Assisted Living Association on Glue Up

If you input more than 0 characters your Email Address may not display properly

If you input more than 0 characters your Phone may not display properly

If you input more than 0 characters your Password may not display properly

		Unit Price	Total
Total %
Lanyard Sponsor This is a 12-month membership This membership includes 1 member slot(s) Lanyard Sponsor: Contribute $2000 Display logo on conference lanyards Two complimentary registrations to conference including lunch Complimentary golf hole sponsor Booth at the UALA annual conference	$0

・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)

If you input more than 0 characters your New Password may not display properly

Please make sure this password matches the password above

If you input more than 0 characters your New Password may not display properly

・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)

If you input more than 0 characters your New Password may not display properly

Please make sure this password matches the password above

If you input more than 0 characters your New Password may not display properly