Membership in the Underserved Populations Committee is open to all, and members of underserved populations and those providing them services are encouraged to apply. The Application Form is set forth below:
Name:
Address:
Phone:
Cell Phone:
Gender:
Email:
Organizational Affiliation, if any:
Website or Blog address:
Are you a member of an underserved population? If so, which one?
Please fax the completed application to the attention of Marc Dubin, Esq., Chair of the Underserved Populations Committee, at 877-731-3030, or email the completed application to mdubin@pobox.com. Marc can also be reached at 305 - 896-3000.
To apply to join, contact Marc Dubin, Esq., Chair, at mdubin@pobox.com or at 305 896 3000.
