Deans' Assistants Group 2023 Membership Application
of AAMC Medical Schools
(Tax ID # 74-2742851)

For more information about DAG, please visit our website at www.aamc.org/dag.

Dues are for January 1, 2023 through December 31, 2023.

Membership fees:
    - Renewal fee is $100 the entire year. 
    - New member fee is based on when application is received: 
          - January-March, 2023 = $100
          - April-June, 2023 = $75
          - July-September, 2023 = $50
          - October-December, 2023 = $25
    - Invoices will be sent from PayPal within a week of application submission.

Please contact the DAG Treasurer at deansassistantstreasurer@gmail.com with any questions.
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Email *
First Name *
Last Name *
Preferred Name (if different from first name)
Membership is *
If renewal, provide the year you originally joined DAG
Title *
Office *
Required
Institution *
Office Address Line 1 *
Office Address Line 2
Office City *
Office State *
Office Zip Code *
Office Country *
Office Telephone *
Would you consider serving on a DAG committee?
Clear selection
Home Address Line 1
Home Address Line 2
Home City
Home State
Home Zip Code
Home Country
Clear selection
Cellphone
Birthday (MM/DD)
Additional Information:
* Dues are individual dues and therefore are non-transferable, except within the same institution
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