Toronto Entomologists' Association Membership Application Form

Regular
($25/year)
Student
($15/year)
Family
($30/year)
□ Donation** $____ Name:___________________________________________
Address:_________________________________________
City, Postal code:___________________________________
Phone:___________________________________________
E-mail:__________________________________________
Interests:________________________________________
Names of additional family members (if applicable):
_______________-_______________________________
** Tax receipts are issued. Donations support the W. John D. Eberlie Research Award and other initiatives of the T.E.A.
Please return with cheque or money order to: Toronto Entomologists’ Association c/o Chris Rickard, Treasurer, 1606 Crediton Parkway, Mississauga, Ontario L5G 3X3
Benefits of membership include:
3
issues per year of Ontario Insects
annual
summary of butterfly
and moth sightings
discounts
on other T.E.A. publications