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Nominate a Student for Complimentary SIAM Membership

SIAM nonstudent members in good standing can nominate up to two students per year for free membership in SIAM.

Please provide as much information as possible. Bold indicates a required field.



Nominator's Name:
(Must be nonstudent member of SIAM)

Nominator's Email:
Nominator's SIAM Member Number (if known):
Select one:   Undergraduate Student
Student's Name:
Student's Email Address:
Student’s School:
Student's Mailing Address:
State or Province
Zip or Postal Code




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