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Note: Fields marked with an asterisk are required. All other fields are encouraged, but not required. You may edit these fields at any time from your profile page after your membership has been approved.

First Name (required)

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Last Name (required)

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Birth Date (required)

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Phone (required)

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Address Line 1 (required)

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Address Line 2

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Zip Code (required)

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Company Name (required)

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High School (required)

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MSU Football Start Year (required)

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MSU Football End Year (required)

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Football Position (required)

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Armed Forces

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Jersey Number

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