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but whose major vocational effort is directly concerned with the practice of a chemical science.

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MEMBER PROFILE INFORMATION

CHOOSE YOUR DIVISION 1st Selection is FREE for One Year for First-Time New Members.
Additional selections will be billed.
My free Division selection is:_______________________________________________________________________________
I understand I may also join additional Divisions and be billed separately. (Check additional selections below.)
Agricultural and Food Chemistry
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Management
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Cellulose and Renewable Materials
Chemical Education

Chemical

Information
Chemical

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Chemistry

and The Law
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and Surface Chemistry
Computers

in Chemistry
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of Energy and Fuels
Environmental

Chemistry
Fluorine

Chemistry
Geochemistry

History

of Chemistry
Industrial and Engineering Chemistry


Inorganic
Chemistry
Medicinal Chemistry
Nuclear Chemistry and Technology
Organic Chemistry
Physical Chemistry
Polymer Chemistry
Polymeric Materials: Science and
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Professional Relations
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Small Chemical Businesses

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Food/Beverage/Flavors
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Industrial Chemicals
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Agricultural


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Petrochemical
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1 Independent Laboratory
2 Independent Consulting
3 Hospital/Clinic

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Y Pharmaceutical
Y2 Biotech/Life Sciences Co
Y3 Environmental/Water

We nominate the following candidate to be considered for membership in the American Chemical Society (ACS) and verify that this
candidate, in accordance with ACS Bylaw I, Section 3, meets the qualifications for consideration for membership.
ACS Member:

ACS Member:

_________________________________________________

__________________________________________________

Denise L. Creech, Director, Division of Membership and Scientific Advancement

James M Landis, Jr., Chair, Membership Affairs Committee

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Executive Director of the Society prior to the end of the 12-month period for which dues have been paid.
Signature of Applicant

X ____________________________________________________________

Date ____________________

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