Instructions

Please fill out the requested information and submit the form. You will then be directed to payment by Paypal or credit card.

Current members need not fill out the form in its entirety. Only your name and e-mail address are required.

Name(s) (required)

E-mail (required)

Address

City

State

Zip Code

Phone Number (work)

Phone Number (home)

Please describe your interests in entomology (at minimum, please list general taxonomic group and check as many choices that apply to you):

Group(s):

Natural History
Ecology
Systematics
IPM / Pest Control
Agriculture
Forestry
Education / Outreach
Collections
Photography
Arctic
Boreal Forest
Holarctic / Continental
Coastal
Alpine / Montane
Specialized Habitats
Conservation
Evolution / Speciation
 


Other (explain)


Membership Dues


$ 15.00   Student/Early Professional     ×   #   years
$ 30.00   Regular  

Additional Contribution / Donation $