Membership Application
American Society of Ichthyologists and Herpetologists Publishers of Copeia
You can now join online here
Print out and send completed form with payment to:
ASIH Business Office P.O. Box 1897 Lawrence, Kansas 66044-8897 U.S.A. Phone 1-800-627-0326 ext. 252 or (785) 843-1235; FAX (785) 843-1274 e-mail: asih@allenpress.com
Please enroll me in the American Society of Ichthyologists and Herpetologists in accordance with the membership classification I have indicated below. I understand that all classes of membership, except Associate and Member, No Journals, include a subscription to the Society's journal, COPEIA, and that all memberships and subscriptions correspond to a calendar year. Unless noted in the calendar year space below, new members accepted January 1 - August 31 are credited full membership for that year and will receive all 4 issues of Copeia for that year. Members accepted September 1 - December 31 are credited full memberships as of next January.
| Last name (surname):________________________ | Telephone (voice):_______________ | |
| First name:________________________________ | FAX:_________________________ | |
| Initial:_____ | e-mail:________________________ | |
| Address:__________________________________ _________________________________________ _________________________________________ | Primary Interest (circle one only): Ich / Herp / Both | |
| City:_____________________________________ | Membership application for year(s):___________ | |
| State:________ | ||
| Postal (Zip) Code:__________ | ||
| Country:__________________________________ | ||
| __ Check if you DO NOT want the information above to be included on the ASIH Membership Directory | ||
Prices and payment methods:
Annual Membership Dues for Individuals
| ____Regular Member(paper+ejournal): $100.00 |
| ____Regular Member (ejournal): $ 60.00 |
| ____Second Member in Family: $ 35.00 |
| ____Sustaining Member (paper+ejournal): $150.00 |
| ____Sustaining Member (ejournal): $115.00 |
| ____Life Member (single payment): $2500.00 |
| ____Life Member (4 consecutive annual payments) $625.00 |
| ____Student Member (ejournal): $ 45.00 |
| ____Student Member (paper+ejournal): $ 85.00 |
| Student Status certified by: ____________________________
Position/title: ____________________________ |
Institutional subscription to COPEIA is $160.00 per year (online only) or $200.00 per year (print & online) ( Federal Tax I.D. for ASIH & COPEIA: 95-6056946)
Additional contributions
- $_______ Endowment Fund $_______ Graduate Student Travel Fund
Payments in U.S. dollars only. Visa/Mastercard, checks drawn on U.S. banks, international money orders, and Purchase Orders accepted.
Do not send cash.
Credit card number (VISA) (MASTERCARD)
________ - ________ - ________ - ________ (expiration: ____ / ____ )
Signature (required):______________________________________________
Note: Back issues and mailing list rentals available from Business Office (address above). Advertising not available in Copeia; inserts possible (contact Business Office). ASIH plans to publish a newsletter but it is not yet in circulation. Other information may be obtained from Maureen Donnelly, Dept of Biological Sciences, College Of Arts & Science, Florida International University, North Miami, FL 33199; phone: (305)248-1235; fax: (305)348-1986; email: asih@fiu.edu; WWW: http://www.asih.org.
COPEIA (ISSN 0045-8511) is published quarterly (February, May, August, December) by the American Society of Ichthyologists and Herpetologists.
© 2004 ASIH
