Name__________________________________________ Date ___________ Address_________________________________________________________ ________________________________________________________________ City _________________________ State ______ Zip _______________ Phone ___________________________ Fax _________________________ e-mail _______________________________
Please indicate your areas of interest and expertise:
How would you like to assist the MOS?
[ ] Survey targeted areas or monitor areas for targeted species [ ] Collect in various areas anywhere in the state [ ] Provide data from personal and/or instututional collections [ ] Data entry volunteer [ ] Assist with newsletter and other reports [ ] Verify identifications of ____________________________________ [ ] Photograph various species and habitats [ ] Other activities:
Please write any additional comments on the reverse side.
Return this to: Michigan Odonata Survey,
c/o Insect Division, Museum of Zoology,
The University of Michigan,
Ann Arbor, MI 48109-1079