Personal tools
You are here: Home Forms archived Member Application / Renewal - First Draft

Member Application / Renewal - First Draft

Application / Renewal of Membership in the Microbeam Analysis Society

Application Type
(Required)


Your Contact Info
(Required)
John Q. Public
State University
(Required)
Department of Microbeam Analysis
1 Quantitative Road
(Required)
Anytown
(Required)
ST
(Required)
01234-5678
(Required)
USA
(Required)
jqpublic@microbeam.state.edu
(Required)
+1 234 567 8901
+1 987 654 3210
Particularly for Students
If not applying for student membership, please skip to next section.


By vote of MAS Council, beginning in 2010!


High school senior
Jane P. Advisor
+1 234 567 8901
jpadvisor@microbeam.state.edu


Membership in Affiliated Societies
(Required)


StateMAS
(Required)


Membership Dues, Services, Charitable Donations, and Payment
The selections below will permit you to specify your membership category, whether you would like to purchase a subscription to Microscopy and Microanalysis, the society journal, and whether you would like to make a tax-deductible donation to one of the MAS charitable funds. All denominations are in US$.
(Required)
Note: Honorary and emeritus membership conferred only by vote of MAS council.
(Required)
MSA members already receive a subscription to M&M through their MSA dues. Student members are eligible to receive a complimentary subscription; see "Particularly for Students" above.
(Required)
The Chodos Fund supports student activities within MAS. Funds are allocated at the discretion of MAS Council.
(Required)
The Fiori Fund supports technologist-oriented programming within MAS. Funds are allocated at the discretion of MAS Council.
(Required)
Choosing to pay for more than one year will simply multiply all amounts indicated above - dues, journal subscription, and donations - by the chosen multiple.
(Required)
If you select "PayPal / Credit Card," you will be transferred to a secure checkout location to enter credit card information (Visa, Mastercard, American Express, Discover or bank transfer). If you select "Personal Check," you will be presented with an address to send the check.


Special Requests
The MAS makes a subset of its members names and addresses available as mailing labels to its Sustaining Members. You may opt out of being included.
(Required)


Member Feedback