Add Yourself to the ASMC Member Database!

Note: Pink fields are required. Also, deactivate caps lock before filling out the form.

First name
Middle initial
Last name
Grade/rank
Series/designation
Position title
Primary professional area
Your service	Please select one USN USMC USA USAF DFAS USCG Other DoD Other (e.g., of NA Please select on
Command's service	Please select one USN USMC USA USAF DFAS USCG Other DoD Other (e.g., of NA Please select on
Command/organization (short name)
Command/organization (full name)
Command mailing address
Command (your) physical location
Home address
Primary e-mail address
Secondary e-mail address
Primary phone number
Secondary phone number
Cell phone number
Are you an ASMC member?	Yes No
ASMC membership number
Membership type	Please select one Active (general Life Associate Honorary Corporate Please select on
Are you the Chapter's command representative?	Yes No
Does your command have a chapter representative?	Please select one Yes No Don't know Please select on
Are you a CDFM?	Please select one Yes No, but not work No, but working Please select on
Receive an e-mail notification when . . .
Newsletter is posted Photographs are posted Calendar event is posted President's message is posted	Yes No Yes No Yes No Yes No
Are you interested in helping with the following:
Mini PDI Membership/recruiting Coordinating professional training Chapter competitions Awards programs Chapter at PDI Luncheons/business meetings Special events Elected position Appointed position	Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
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