Basic Info
Name of School
Your answer
Name of Group
Your answer
Top 3 Preferred Local Numbers
Every USAS local is assigned an identifying number. List your top three preferred numbers, in the range 11-200. For example, "20, 199, 95". The Coordinating Committee will contact you to finalize your local number assignment.
Your answer
Contact #1
Main liaison for your group to USAS.
Name
Your answer
Phone
Your answer
Email
Your answer
Contact #2
Other main liaison for your group to USAS.
Name
Your answer
Phone
Your answer
Email
Your answer
Mailing Address
List an address for your group or one of its members so that we can mail you your local charter.
Name, Street, City, State, Zip
Your answer
Commitments
Has your group read, discussed and agreed with the "USAS Local Commitments" above?
Required
Are at least two members of your group already individual members of USAS?
If not, you can sign up at http://usas.org/member
Required
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