Please mail a printed copy of this application along with payment.
Date Name Address City State Zip Institution or Company Position or Title
Field of Special Interest Phone (work) E-mail Fax
Do you wish to have your name included in a membership directory or e-mail list on the WVAS Web site?
$25/year - regular membership $10/year - student membership FREE - emeritus membership (elected) $30/year - contributing membership $60/year - sustaining membership (regular membership plus a contribution to support WVAS) $150 - life membership $200 - institutional/corporate membership $25 - library subscription to proceedings Contribution to Junior Academy of Science (to help support the WV State Science and Engineering Fair)
Please send payment along with application to: Dr. Roger Seeber
Biology Dept.
CSC #139 West Liberty State College West Liberty, WV 26074
Make check payable to WVAS