Individual Membership Form

 

Renew your Membership in the Dublin Core Metadata Initiative Today!

Fill in the following Individual Membership renewal form today, and continue taking advantage of member discounts while supporting DCMI! If you wish to pay by credit card please fill in this form and securely submit your application online. If you wish to pay by check, please download the PDF form linked from the bottom of this page, fill it out and send it in along with your check to the address at the bottom of the form.


Current DCMI members click here to prefill this form!

 


**required fields

       Dr.   Mr.   Ms.     

**First Name:

 

**Last Name:

 

Professional Title:

**E-Mail:

 

 

 

ADDRESS

Organization:

Department:

**Address:

 

**City:

 

State/Prov:

 

**ZIP or Postal Code:

 

Country:

**Phone:

 

Fax:

 

Mailing Address (if different)

Address:

City:

State/Prov:

ZIP or Postal Code:

Country:

 

Phone:

Fax:

 

 

PAYMENT INFORMATION

Membership:

Regular Membership (US $75)
Student Membership (US $35)
 
You can join for 1 year or up to 3 years at today's rates!
1 Year 2 Years 3 Years

Payment:

 

Credit Card Number:

Expiration Date:

Name on Card:

DCMI memberships are non-refundable and non-transferable.

                          
 


If you are paying your DCMI membership by check, please download the PDF version of the form here.
Please make your check payable to ASIS&T DCMI. Send checks and your completed membership form to:

ASIS&T
8555 16th Street
Suite 850
Silver Spring, MD 20910

Phone: (301) 495-0900 Fax: (301) 495-0810
e-mail: dcmi-payment@asis.org