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Membership Type *	Career Bailout - Silver ($0.50 for each 5 years) Career bailout online program Career Bailout - Gold ($97 for the first 90 days. Then $297.00 for each 30 days, for 3 installments) Career Bailout - Platinum ($197 for the first 180 days. Then $297.00 for each 30 days, for 6 installments) Individual, one-to-one Career Bailout Coaching
Payment System *	PayPal secure credit card payment
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Login Name (User ID) * It must be 4 or more characters in length and may only contain small letters, numbers, and the underscore '_'
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again