Individual memberships ($10.00/yr). Please check one of the following categories: Biological Science ____ Physical Science ____

Corporate memberships ($20.00/yr) ____Each Corporate member will have their name and company affiliation listed in each newsletter. The company logo will appear on the Corporate Page of the AReMS internet web site and a link will be provided to the company web site.

Name ( Mr.___Mrs.___Ms.___Dr.___)      __________________________________________

Affiliation ___________________________________________________________________

Mailing address _______________________________________________________________

City/State/Zip ________________________________________________________________

E-mail _____________@__________________________________________________

Telephone ___________________________FAX _______________________________

Corporate members please provide the company URL (or preferably include business card) __________________________________________________________________

Please indicate if you are a member of MSA_____ or MAS ____

Amount included with this application $___________