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Date *
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Name *
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Membership Category *
* Please refer to CERLAC's website for an explanation of the membership categories
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Regional Focus *
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Thematic Clusters (select those which apply) *
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Thematic Areas of Research (select those which apply) *
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Also, please let us know which activities you are planning in doing for CERLAC *
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Can we post your profile on CERLAC's website
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Can we subscribe you to CERLAC's listserv? (You will receive notifications of upcoming events, opportunities and news). *
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