Texas Journal of Microscopy - Texas Society for Microscopy
Texas Journal of Microscopy - Texas Society for Microscopy
Texas Journal of Microscopy - Texas Society for Microscopy
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Date___________________<br />
APPLICATION FOR MEMBERSHIP OR CHANGE OF ADDRESS<br />
TEXAS SOCIETY FOR MICROSCOPY, INC.<br />
Please type or print legibly. Fill out completely. The numbers in parenthesis are the the maximum maximum number <strong>of</strong> characters and and<br />
spaces the computer can accommodate <strong>for</strong> that that blank. Though we will mail to your your home address, we prefer to have your<br />
work address. Please note that membership is <strong>for</strong> Jan. Jan. - Dec. <strong>for</strong> each year.<br />
Check one: [ ] I am applying <strong>for</strong> new membership in T.S.M.<br />
[ ] I am a member and wish to change my address.<br />
[ ] I am a STUDENT and wish to upgrade to REGULAR membership.<br />
Are you a member <strong>of</strong> MSA? [ ]Yes [ ]No<br />
Name (last name first) ________________________________________________________________________(35)<br />
Institution____________________________________________________________________________________(35)<br />
(Please write out completely. We'll abbreviate it.)<br />
Department__________________________________________________________________________________(35)<br />
(Please write out completely. We'll abbreviate it.)<br />
Street & Number/P.O. Box____________________________________________________________________(35)<br />
City_______________________________________(20) State __________(2) Zip _______________________(10)<br />
Work Phone (___)________________________(13) Extension________________________________________(4)<br />
Electronic Mail ______________________________________________________________________________(40)<br />
Home Phone (___) _______________________(13) _______________________(13) Fax No. (____) __________________________________(13)<br />
Category <strong>of</strong> Membership (circle only one): Regular Corporate Corporate Honorary Library<br />
Student: Student:<br />
______ Degree program____________________________________________Signature <strong>of</strong> faculty sponsor<br />
Broad field <strong>of</strong> interest in which you utilize utilize Electron <strong>Microscopy</strong>: (circle only one):<br />
Zoology Botany Microbiology Cell Biology Biochemistry<br />
Medicine Vet. Medicine Chemistry Sales Service/Repair<br />
Materials Petroleum Semiconductor Environment Minerals<br />
If you are a member changing your address, please attach an old mailing label to help us us identify your previous record in the<br />
computer. Applicants Applicants <strong>for</strong> membership should include a check check or money money order <strong>for</strong> <strong>for</strong> one year's dues with application (Regular: (Regular:<br />
$30.00; Student: $10.00; Corporate: $300.00).<br />
Applications <strong>for</strong> <strong>for</strong> new membership, or <strong>for</strong> upgrading <strong>of</strong> membership category category from STUDENT to REGULAR, REGULAR, will will be presented<br />
to the Executive Council at their next meeting <strong>for</strong> their approval (majority vote). The applicants will then be presented by by the the<br />
council to the membership at the next general business meeting <strong>for</strong> their approval (majority vote). vote). Applicants will be added added to<br />
the membership rolls at that time.<br />
Please return to: Tina Halupnik<br />
5917 Inks Lake Dr.<br />
Arlington, Arlington, TX 76018<br />
Tex. J. Micros. 37:2, 2006<br />
51
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