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MAMEA Membership Form

1. Your Name:

2. Your E-mail Address:

3. Your Title:

4. School or Institution:

5. Your Address:

6. Your Phone:

7. Your fax:

When you have finished filling in all the requested information, please print this form and mail it, along with $10 - payable to MAMEA - to:

Kathy Siegfried, MAMEA Secretary
National Aquarium in Baltimore
501 East Pratt/Pier 3
Baltimore, MD 21202
KSiegfried@aqua.org

Thank you very much.

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Lisa Ayers Lawrence, Webkeeper