Please enroll me as a member of the Michigan Entomological Society, in the classification checked below.___ Active Member -- annual dues $25.00
___ Student Member (K-12 only) -- annual dues $12.00
___ Institutional Member (organizations, libraries, etc.) -- annual dues $45.00
___ Sustaining Member -- annual dues $35.00
___ Life Member -- $625.00
I enclose $ _______ (cash, check, or money order) as dues for the calendar year (s) _______, appropriate for the class of membership checked above. (Please make remittance payable to the Michigan Entomological Society).Name _____________________________________
Address____________________________________
____________________________________________
City __________________________ State ________ Zip ____________
The following information is optional:
e-mail address ______________________________
Specific areas of interest (orders, families, behavior, etc.)
___________________________________________________
___________________________________________________
MAIL TO:Michigan Entomological Society
c/o Department of Entomology
Michigan State University
East Lansing, MI 48824-1115
updated 04/05/2007