ISOSA Membership

Name___________________________ Academic Degrees__________________

Address_________________________ Telephone (w)_____________________

_________________________ (h)_____________________

_________________________ Email____________________________

Current Position/ Research Activities___________________________________________

________________________________________________________________________

Scholarly Meeting I regularly attend:____________________________________________

________________________________________________________________________

I am interested in working with ISOSA on:

___public relations ___special projects ___newsletter ___develpoment ___membership

Membership Category

___ One year ($30)

___Two year initial member ($50)

___Sponsoring ($100): Part of this may be used to sponsor ISOSA travel grants.

Mail check, this form, and current c.v. to:

Stewart Gordon/ ISOSA 190 Barton Shore Drive Ann Arbor, MI 48105

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