DCSS 2018-2019 Membership Form
Name (Last, First)
Your answer
Position/Title
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Agency/Company/Institution/University
Your answer
Mailing Address, Apt
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone
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Email
Your name and email address will be added to the DCSS Listserv. You will receive all DCSS announcements electronically.
Your answer
Membership Fees
Total Fees
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If you are being sponsored by someone else, please include this person's name:
Your answer
If you are sponsoring someone, please include their name(s) [For this transaction, it is easier to pay by check, see the paper membership forms]:
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Which topics or speakers would you like to hear at future meeting?
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Would you be willing to serve on the awards committee?
Yes or No
Your answer
Other Notes or Comments:
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