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  Toronto Entomologists' Association Membership Application Form

                       

                        Regular: $30/year
                        Student: free (Association finances permitting -- beyond that, a charge of $20 will apply)
                        Family: $35/year

Donation** $____ Name:___________________________________________

Address:_________________________________________

City, Postal code:___________________________________

Phone:___________________________________________

E-mail:__________________________________________

Interests:________________________________________

Names of additional family members (if applicable):†

_______________-_______________________________

Check here if you would like to receive publications as email attachments rather than in paper. _____

We maintain an email list of news about TEA activities. About one email per month is sent out. Check here if you would like to be on this list. _____

** Tax receipts are issued. Donations support the W. John D. Eberlie Research Award and other initiatives of the T.E.A.

Please return with cheque or money order to: Toronto Entomologistsí Association c/o Chris Rickard, Treasurer, 16 Mount View Court, Collingwood, Ontario L9Y 5A9. Alternatively, email Chris at crickard@sympatico.ca to arrange for payment by Interac transfer. Students with free memberships can just email the completed form to info@ontarioinsects.org

Benefits of membership include:

                        3 issues per year of Ontario Insects
                        annual summary of
butterfly and moth sightings
                        discounts on other T.E.A. publications

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