WI-AMTE Organization Registration Form

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WI-AMTE Organization Registration Form

Please complete this form for your membership in the WI-AMTE.

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* Indicates required question

Name (Last, First) *

Your answer

What is your professional role in Mathematics? *

Your answer

What organization do you work for? *

Your answer

What is your professional email address? *

Your answer

What is your PayPal email? (We need this to track your payment of dues in PayPal. *

Your answer

Which email would you prefer to be used for us to contact you with information? *

Personal PayPal

Professional

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