Maine Entomological Society Membership Application
To become a member of the Maine Entomological Society (MES), please complete the information requested below and mail it with your membership dues ($10 for one year, $18 for two years) to the Treasurer, whose name and address are given at the bottom of the page. Members receive quarterly issues of The Maine Entomologist and an MES Members Directory. Members who submit dues payments prior to February 15 of each year are entitled to be included in the annual MES Directory.
(please circle) Dr. Mrs. Ms. Mr.

First name:

Last Name:

Mailing address:

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City/Town:

State:

Zip:

Home
telephone:

Work
telephone:

FAX:

e-mail address:
Area(s) of interest:





Checks should be made out to the Maine Entomological Society and mailed with this completed form to:

Mr. Dana Michaud, MES Treasurer, 3 Halde Street, Waterville, ME 04901

Your support of the Maine Entomological Society is greatly appreciated!