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