ATFE Membership Information Form
Please complete this form to help ATFE maintain accurate membership records.
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For which year does this membership application and dues payment apply? *
Do you anticipate paying membership dues for this cycle via: *
For what membership status are you paying dues this year? *
Institutional Affiliation
Please provide institutional membership information here. In the next section, you will have an opportunity to provide membership information
What is your institutional affiliation?
What is the mailing address of your institution?
My institution is in:
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Membership Information
Please provide name and contact information for either (A) the individual who has applied for individual membership status; or (B) all of the faculty and staff who belong to an institutional membership.
Individual Member 1
Member 1 name:
Member 1 email address:
Member 1 phone number:
Member 1 mailing address (if different from institutional address):
New member this year? *
Individual Member 2
Member 2 name:
Member 2 email address:
Member 2 phone number:
Member 2 mailing address (if different from institutional address):
New member this year? *
Individual Member 3
Member 3 name:
Member 3 email address:
Member 3 phone number:
Member 3 mailing address (if different from institutional address):
New member this year? *
Individual Member 4
Member 4 name:
Member 4 email address:
Member 4 phone number:
Member 4 mailing address (if different from institutional address):
New member this year? *
Emeritus/a Membership Information
Emeritus/a name:
Emeritus/a email address:
Emeritus/a phone number:
Emeritus/a mailing address:
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