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Application for Affiliate Membership in the DDA


To request affiliate DDA membership, please print this form, fill it out, including the signatures of two regular DDA members, and send it to the Secretary of the DDA at
   Dr. Marc A. Murison
   Attn: DDA Membership
   U.S. Naval Observatory
   3450 Massachusetts Ave, NW
   Washington, DC  20392
The 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:______________________________________________________




Marc A. Murison     Last modified February 14, 2001