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AAA Membership Application

Candidates for regular membership must be persons engaged in the teaching or investigation of anatomical or cognate sciences, with an advanced degree or equivalent experience.

Please fill out the following online application for membership to the American Association of Anatomists. Be sure to press submit when you are through! Questions?

Fields marked with a * are required. Your form submission WILL be encrypted using SSL to ensure your privacy.

Please be prepared to upload a PDF of your curriculum vitae.

Membership *
 Regular
 Postdoc
 Student
 HAPS Affiliate (E-Membership)
Length of Membership: Amount:
Journal Selection *
 Anatomical Record E-Only
 Anatomical Record Print/Electronic
 Developmental Dynamics E-Only
 No Journal
CONTACT INFORMATION

Prefix * First Name * M.I. Last Name * Suffix
Title:
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Department:
WORK ADDRESS

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Address: *
Address 2
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Province (outside US & Canada):
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Email: *
Website:
Work Phone #: *
Fax #:
HOME ADDRESS

 Preferred Address
Address:
Address 2:
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Province (outside US & Canada):
Country:
Home Phone #:
PROFESSIONAL INFORMATION

Primary Occupation: *

You may make multiple selection for each of the following questions. Use the CTRL key to select more than one value.

Primary Expertise: *
Other Areas of
Expertise & Research:
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PERSONAL INFORMATION (Confidential, for statistical purposes only)

Birth Year (yyyy): *
Gender: *
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Race:
American Indian Asian or Pacific Black Hispanic
Other White (non-Hispanic)  

In addition to my membership fee, I would like to donate funds to the AAA Second Century Fund which supports future AAA programs in the amount of:
$15 $25 $50 $100 Other  Other: 
* = Required Field
 
  American Association of Anatomists
9650 Rockville Pike   Bethesda, Maryland   20814-3998
Tel: 301-634-7910   Fax: 301-634-7965   exec@anatomy.org
©2005 American Association of Anatomists