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New Member Application and Invoice for
Calendar Year 2005 |
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Please do not use this
form if you are were
a WNAR Member in Calendar Year 2004.
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Return this notice with your remittance to:
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| WNAR Membership Services |
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E-mail: wnar@crab.org |
| Cancer Research And
Biostatistics |
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Tax ID # 86-6053027 |
| 1730 Minor Ave., Suite 1900 |
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Web site: http://www.wnar.org |
| Seattle, WA 98101-1468 USA |
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Membership Fee for Calendar Year
2005 Please
circle the fee for one of the following categories:
| Regular |
$85 |
Subscription to
BIOMETRICS, Biometric Bulletin, and voting rights in IBS and WNAR. |
| Student |
$0 |
Subscription to BIOMETRICS
and Biometric Bulletin. Neither IBS nor WNAR voting rights.
Must be full-time student. Your major professor must confirm
your full-time student status by signing below.
Major Professor Name
and Institution_______________________________________________
Major Professor
Signature________________________________________________________ |
| Family Associate |
$23 |
Regular Member's Name:
_______________________________________________
Subscription to Biometric Bulletin, not to BIOMETRICS
Neither IBS nor WNAR
voting rights. |
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Supporting contributions (suggested
amount is $10 for each)
| $______________ |
To support third world
regional programs of the International Biometric Society. |
| $______________ |
To support regional Biometric
Society (WNAR) Student Paper
Competition |
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Total $______________ |
Check or
Money Order in US funds payable to
The International Biometric Society
(WNAR) |
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| Please carefully
print the following and circle your survey responses
below |
| Your Name |
_____________________________________________________________________________________ |
| Mailing address |
_____________________________________________________________________________________ |
_____________________________________________________________________________________ |
_____________________________________________________________________________________ |
_____________________________________________________________________________________ |
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| E-mail |
_____________________________________________________________________________________ |
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| Telephone |
_________________________ |
FAX |
_________________________ |
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| Contact method |
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E-mail |
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US Mail |
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| Area of work |
Academics |
Industry |
Government |
Other |
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| Field of work |
Agriculture |
Biology |
Environment |
Economics |
Medicine |
Other |
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