Mailing address updated Oct 1st, 2009.
Please return this form (with a check payable to BAMS) to:
Bay Area Mass Spectrometry
PO Box 1198
Santa Clara, CA 95052-1198
Dues for BAMS year (January 1, 2010 to December 31, 2010)
| __ | Corporate Member (includes membership for one designated representative from the Corporate member organization) |
$300
|
| __ | Individual Member |
$30
|
| __ | Student Member (requires signature of research director) |
$15
|
| Institution ________________________________ | ||
| Signature of research director ________________________________ |
Mailing list information
| Name: | __________________________________________________ |
| E-mail address: | __________________________________________________ |
| Telephone: | __________________________________________________ |
| FAX: | __________________________________________________ |
| *Address: | __________________________________________________ |
| __________________________________________________ | |
| __________________________________________________ |
| __ | *Check here if we may include the above name, e-mail & address in our next membership directory. |