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  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

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