Signing up for BMES membership is separate from registering for the 2020 BMES Virtual Meeting. To register for the meeting, please visit www.bmes.org/registration.

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* 1. Is this a new membership or a renewal?

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* 2. What is your member type?

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* 3. Email

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* 4. First Name

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* 5. Last Name

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* 6. Address Line 1

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* 7. Address Line 2

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* 8. City

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* 9. State/Province

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* 10. Zipcode

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* 11. Do you agree to receive e-mail correspondence from the association and its members?

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* 12. Do you agree to receive pertinent information related to issues covered by the association from interested third-party entities?

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* 13. Company / Institution / University

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* 14. Employment Type

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* 15. Graduation Year

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* 16. Gender

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* 17. Ethnicity

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* 18. Do you consider yourself a member of the lesbian, gay, bisexual, and/or transgender (LGBT) community?

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