DCSS 2019-2020 Membership Form
Name (Last, First)
Position/Title
Agency/Company/Institution/University
Mailing Address, Apt
City
State
Zip Code
Phone
Email
Your name and email address will be added to the DCSS Listserv. You will receive all DCSS announcements electronically.
Membership Fees
Total Fees
If you are being sponsored by someone else, please include this person's name:
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]:
Which topics or speakers would you like to hear at future meeting?
Would you be willing to serve on the awards committee?
Yes or No
Other Notes or Comments:
Submit
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