Please fill out the following form to apply to be a chapter of the IDA.
Your Name (required)
Your Email (required)
Telephone Number (required)
Street Address (required)
What is the City, County, Country or Region that your chapter would be effective in?
How did you hear about IDA?
Briefly describe the goals that you would like your chapter to achieve.
Does your chapter plan on raising funds?
What is your background knowledge of light pollution?
What other groups/organization/companies are you affiliated with?
Do you currently work in the lighting industry?
If "Yes," please explain in what capacity.
Who is the permanent contact/chapter leader?
Who are the other chapter members/volunteers/officers and what positions will they hold?
Who of the chapter leadership is a current member of IDA?
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