MAPB

Membership Application Form

Application & Renewal Form and Questionnaire

Name:
Primary Address:

Telephone:
E-mail:
Alternate Address:

Telephone:
E-mail:
Degrees:

My current interests in plant biology are:

Membership Fee:
I wish to join/renew The regular $25 fee applies to me The student $10 fee applies to me I do not wish to join now but I would like to be informed about future activities. I am donating to: the MAPB Bursary (U of M) the Richard Staniforth MAPB Bursary (U of W) Programs
Interests:
I am willing to help with or in favor of (check as many as you wish)
1. A formal annual meeting with scientific program in 2. Development of the web site. 3. Representation (e.g. display) at public events and meetings of related organizations. 4. Regular distribution to members of notices of vacant positions and a list of materials available for exchange or donation. 5. Speaking at schools and other groups, creating articles for popular media, and demonstrations of classroom experiments to teachers. 6. Graphic design, including updates to or revamps of the MAPB logo. 7. Other:
News:
an electronic newsletter; a printed newsletter; (can check both)