Degree/Title First Middle
City State Zip
Please choose the appropriate registration categories and curse down to send registration form:
- ASD Member
- Non ASD Member - (**$100 may apply toward dues if you join ASD at the time of registration)
- Resident Member
- No Charge
- Non Member Resident
- Office Staff With Registered Member
- Office Staff Without Registered Member
- Guest With Registered Member
**Join ASD with your registration and apply $100 of the $395 registration fee
toward dues and receive membership until August, 2000.
Dues: $275 per year.
- My check for registration will be sent by mail.
- Please bill me accordingly.