ISM Membership Information


 
ILLINOIS SOCIETY FOR MICROBIOLOGY MEMBERSHIP FORM
(    )  New Membership $30 - 2 years
(    )  Renewal  $30 – 2 years 

(    )  Student  $30 – 2 years

(    ) Emeritus Member
(    ) Apply for Emeritus status
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Education: Highest Degree:   MD   PhD   MS    MPH    MA    BS    BA   Assoc.  Other:
 
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What is your field of microbiology?      Academic     Clinical     Environmental     Industrial     Student 
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Are you a member of ASM?  If yes please include membership #:      (    )Yes    (   ) No
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Can we use your Email address for communications?   (   ) Yes   (    ) No
Would you be willing to work on a Committee with the ISM?   (    ) Yes   (    ) No
Please make check payable to ISM and return to:
ISM c/o Lynn Schwabe
3349 Maple Leaf Drive
Glenview, IL 60026-1126


For additional information on joining the ISM contact:
Richard Gottschall
gottsch345@nethere.com
fax: (952)473-0564



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    This web page was created and authored by the Illinois Society for Microbiology, which is fully responsible for its contents.Last update 2/7/2008. If you have comments or suggestions, email me at kristy.shanahan@rosalindfranklin.edu