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 1-800-627-0629 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

____$85.00 Regular Member (US or foreign) ____$45.00 Student Status certified by: ____________________________ Position/title: ____________________________
____$50.00 Member, No Journals
____$100.00 Sustaining
____$20.00 Associate (2nd member in family, no journal)
____$2125.00 Life membership (single payment)
____$531.25 Life membership (four equal consecutive annual payments required)

Institutional subscription to COPEIA is $135.00 per year ( 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