American Statistical Association
New York City
Metropolitan Area Chapter

Associate Chapter Membership Online Application

Fill in the information below and send payment ($8.00 for Associate Members and $2.00 for Student Associate Members) to:

Please make check or money order payable to: American Statistical Association - New York City Metro Chapter.

The membership year for Associate Chapter members is January 1 through December 31.

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    First Name:
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    Last Name:
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State: Zip:
    Telephone Number (with area code):
    Email Address:
    Membership Type:
Associate Member Student Associate Member

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