A-DC Membership Form
Member Record Maintenance
The membership list is strictly confidential, and will not be disclosed to
anyone or any agency
outside the A-DC Membership Committee without your prior notification and consent.
It will only be used for member benefits, verification (if desired),.and your membership card.
1629 K Street, NW Suite 325, Washington, DC 20006 202-221-5022 Fax 202-318-2503 info@A-DC.org
(OFFICE USE ONLY)
Approved _____ Disapproved _____ Date ____________ Reviewed By: ______________