Poultry Science Association 101st Annual Meeting Program
Poultry Science Association 101st Annual Meeting Program
Poultry Science Association 101st Annual Meeting Program
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<strong>Poultry</strong> <strong>Science</strong> <strong>Association</strong><br />
1800 South Oak Street, Suite 100<br />
Champaign, IL 61820<br />
Tel: 217-356-5285 Fax: 217-398-4119<br />
E-mail: psa@assochq org<br />
Web site: www poultryscience org<br />
PSA Membership Application<br />
Date:________________________<br />
Name: __________________________________________________________________<br />
**University/Company: (this is a required field) ___________________________________<br />
Street Address: ____________________________________________________________<br />
City: _______________________________State: ____________ Zip: _______________<br />
Country: ________________________________________________________________<br />
Phone: _______________________________Fax: _______________________________<br />
**E-mail: (this is a required field) ______________________________________________<br />
Date of Birth: / /<br />
Position Type (please check one): ☐ Academic ☐ Industry ☐ Government<br />
FULL-TIME STUDENTS: Certification of eligibility is required for student members.<br />
Please include a letter stating that the applicant is a regularly enrolled college student who<br />
does not hold a full-time job.<br />
Advisor’s Name: ___________________________________________________________<br />
Signature of Advisor: _______________________________________________________<br />
E-mail Address: ___________________________________________________________<br />
Select Membership Category and Options Below<br />
☐ Active Member = $120 00<br />
(includes online access to the PS journal) (calendar year membership, January–December)<br />
☐ Graduate Student = $30 00<br />
(includes online access to the PS journal) (calendar year membership, January–December)<br />
☐ Undergraduate Student = $30 00<br />
(includes online access to the PS journal) (calendar year membership, January–December)<br />
☐ Paper copy of <strong>Poultry</strong> <strong>Science</strong> journal= $75 00 International= $107 00<br />
☐ Paper copy of The Journal of Applied <strong>Poultry</strong> Research = $72 00 (includes online access to<br />
JAPR) International= $82 00(includes online access to JAPR)<br />
☐ Journal of Applied <strong>Poultry</strong> Research CD, Vol 1–9 ( pdf format) = $40 00<br />
☐ *NEW Graduate Student = $0<br />
(must send signed letter from your Professor/Advisor verifying student status)<br />
☐ *NEW Undergrad Student = $0<br />
(must send signed letter from your Professor/Advisor verifying student status)<br />
*New Graduate and Undergraduate Student memberships include online access to PS Journal.<br />
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