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  Toronto Entomologists' Association Membership Application Form

                                               

Name:___________________________________________

Address:_________________________________________

City, Postal code:___________________________________

Phone:___________________________________________

E-mail:__________________________________________

Names of additional family members (if applicable): 

_____________________________________________

Interests:________________________________________

All members will receive Ontario Insects and Ontario Lepidoptera electronically. You may also opt to receive them by mail (Canada Post):
Check here to receive Ontario Insects by mail (Canada Post).
Check here to receive the annual Ontario Lepidoptera summary by mail.

Individual member:

Student member: free (Association finances permitting -- beyond that, a charge of $20 will apply)

Family membership (circle a choice below):

 

Donations to the TEA support the Glenn Richardson Research Award and other initiatives of the TEA.

 

Amount paid:­­­­­ $____________

 

Benefits of membership include:

Please return this completed form to membership@ontarioinsects.org or mail a printed copy to the address below.

Payment may be made by e-transfer to membership@ontarioinsects.org (please include member’s name & member category) or cheque sent to:
Toronto Entomologists’ Association c/o Ms. Calder Forbes, 24 Haslam Street, Toronto ON M1N 3N5

 

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