MAS Individual Member Form

Prefix

First Name (required)

Middle Initial(s)

Last Name (required)

E-mail Address (required)

Organization Name

Designation / Title at Organization

Address Type (required)
Home AddressBusiness Address

Mailing Address - Line 1 (required)

Mailing Address - Line 2

City (required)

State (required)

ZIP / Postcode (required)

Country (required)

Telephone

Membership Type
Regular membership ($40.00)Student membership ($10.00)

(Optional) Focused Interest Group on MicroAnalytical Standards (FIGMAS)
FIGMAS Membership ($15.00)

Journal Subscriptions
None ($0.00)M&M Subscription (USA) ($25.00)M&M Subscription (Rest of world) ($45.00)

Opt-In: Do you want your contact information shared with interested 3rd parties?
I opt outI opt in

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