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Comparative Parasitology 67(1) 2000 - Peru State College

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Name:<br />

MEMBERSHIP APPLICATION 143<br />

APPLICATION FOR MEMBERSHIP<br />

in the<br />

HELMINTHOLOGICAL SOCIETY OF WASHINGTON<br />

Mailing Address:<br />

Present Position and Name of Institution:<br />

(Please Type or Print Legibly)<br />

Phone: FAX:<br />

E-Mail:<br />

Highest Degree Earned and the Year Received:<br />

Are You a Student? If so, for what degree and where?<br />

Fields of Interest:<br />

If you are experienced in your field, would you consent to be a reviewer for manuscripts<br />

submitted for publication in the Society's journal, <strong>Comparative</strong> <strong>Parasitology</strong>l If so, what<br />

specific subject area(s) do you feel most qualified to review?<br />

Signature of Applicant Date<br />

Signature of Sponsor (a member) Date<br />

Mail the completed application along with a check (on a U.S. bank) or money order (in<br />

U.S. currency) for the first year's dues (US$25 for domestic active members ami US$28<br />

for foreign active members) to the Corresponding Secretary-Treasurer, Nancy D. Pacheco,<br />

9708 DePaul Drive, Bethesda, MD, U.S.A. 20817<br />

Helminthological Society of Washington Home Page: http://www.gettysburg.edU/~shendrix/helms:oc.html<br />

Copyright © 2011, The Helminthological Society of Washington

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