|
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 per year, payable up to 2 years in advance) to the
Treasurer, whose name and address are given at the bottom of the page.
Members receive quarterly issues of The Maine Entomologist and, on
request, an MES Membership Directory. Members who submit dues payments
prior to February 15 of each year are entitled to be included in the
annual MES Directory. New members who join in the fall will receive the
November issue gratis in addition to the complete following year for their membership.
|
(please circle)
Dr. Ms. Mrs. Mr. Mssr.
First name:
|
Last Name:
|
Mailing address:
|
.
|
City/Town:
|
State:
|
Zip/Postal Code:
|
Home
telephone:
|
Work
telephone:
|
FAX:
|
e-mail address:
|
Check here _____ if you'd prefer to receive the newsletter electronically.
|
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!
|