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Application for Affiliate Membership in the DDA |
Dr. Marc A. Murison Attn: DDA Membership U.S. Naval Observatory 3450 Massachusetts Ave, NW Washington, DC 20392The DDA Secretary will inform both you and the AAS of your membership approval, whereupon you may proceed with payment.
Do NOT send payment of any kind with this form! You will send your payment to the AAS, as per previous instructions, after your membership application is approved.
Name (please print):_________________________________________________
Signature:___________________________________________________________
I request enrollment as an affiliate member of the DDA.
I am a member of ____________________________________________________,
a professional scientific organization.
The two regular members of the DDA sponsoring my application are:
Name:________________________ Signature:___________________________
Name:________________________ Signature:___________________________
Contact Information
Address: _______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Telephone:_______________________________________________________
FAX: _______________________________________________________
Email: _______________________________________________________
_______________________________________________________
Education
Highest degree earned:______________________________________________________
Institution:______________________________________________________