Download form in application form.rtf
Name (title, last name first)_____________________________________________
Mailing address for Society communications (Please condense to no more than 3 lines, 40 characters per line, maximum)
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Tel: (include area code) _____________ Fax: (include area code)_______________
e-mail address:_________________________
Type of membership and annual dues:
___ Student Member* (with journal)...............................$65
___ Member (no journal)..........................................$35
___ Member (with journal)........................................$95
___ Patron Member (journal).....................................$125
___ Institutional Journal Subscription..........................$145
___ Foreign Institutional Journal Subscription..................$165
___ Denton Belk Memorial Endowed Fund Contribution..............$______
___ Voluntary assessment to support TCS activities..............$______
Total enclosed......................................................$______
* Individuals claiming student rates are
asked to provide your mentor's name______________________.
Mentor does not have to be a member. Members wishing to claim financial
hardship may write to The Secretary,
The Crustacean Society, for reduced rates.
Starting Year_________ (includes all issues for this year)
Personal check enclosed___ Mastercard___ Visa___
Card No.________________________________________________________
Expiration Date_________________________________________________
Signature_______________________________________________________
Send completed application form and payment in U.S. dollars to: