Membership Application for the West Virginia Academy of Science

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?

$35/year - regular membership
$20/year - student membership
FREE - emeritus membership (elected)
$200 - lifetime membership
$250/year - institutional/corporate membership
$25 - library subscription to proceedings

 

Please send payment along with application to:
Chuck Puckett

Assistant Professor of Biology

Southern WV Community and Technical College
Logan, WV 25601
 

Make check payable to WVAS