Membership Package Form Information required to build a membership package Date* Date Format: MM slash DD slash YYYY Name* First Last Email:* Membership/Program Title or Subscription Name:*Number of Membership Levels (Max 5)One LevelTwo LevelsThree LevelsFour LevelsFive LevelsLevel Name and Price: (Optional)If multiple levels please list Level Name and Price. (Ex. Bronze Level = $49.99)Payment Method:*PayPalOtherNot sure, yet