2008 DUES ANNOUNCEMENT

WESTERN SOCIETY OF MALACOLOGISTS

 

RECOMMENDED: DOWNLOAD A MS WORD, RTF, or PDF VERSION OF THIS FORM

P LEASE RETURN THIS SHEET WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE TO:  
Vic Smith

53 Woodbine Drive

Mill Valey, CA 92941 USA

 

 

(Please print Name, Address, and Email.)

 

Name:___________________________________________

 

Address:_________________________________________

 

            __________________________________________

 

            __________________________________________

 

            __________________________________________

 

Email:__________________________________________

 

Payments enclosed:

 

                                                                                    Regular          Student

 

                                    Early Renewal:                    _______            _______

 

                        After 30 March Renewal:                _______           _______

 

Contribution to the Student Grant Fund:            _______           _______

 

            TOTAL ENCLOSED:                     _________________________

 

Fees:   Regular Membership:  $20 (U.S.)

            Student Membership:  $8 (U.S.)

 

If membership is paid before 30 March (early renewal):

            Regular:  $15 (U.S.)

            Student:  $6 (U.S.)

Note: Due to the expense of currency conversion, Mexican members or potential members can pay for WSM membership at the time of meeting registration, but please let the Treasurer know that you expect to do this.

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|     |     Yes, I will (might) be attending the Annual Meeting in Menlo Park, CA June 5-8, 2008

|     |     

 

 

SIGNATURE:_________________________________________

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