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If you are interested in becoming a member of the ALSC, please fill in all of the fields below.
Applicants must be a doctor (dentist, physician or a veterinarian), or scientist, researcher; practice staff member (non-doctors); student; or a medical/dental industry professional. Some exceptions may apply. All fields are required.

Membership Type

Applicant Information

Mailing Address

Choose your Membership Quiz:

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