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