Society for Neuroscience Lethbridge Chapter

Membership Application (New Members)/Dues Notice (Renewals)

Membership Category:

Regular ($20/year)
Student (Gratis)
Graduate Student (Gratis)

Membership Category

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Name

Last Name, First Name

Mailing Address

Telephone Number

Fax Number

E-mail Address

Are you a regular, student or emeritus member of the Society for Neuroscience?

Select appropriate response. Defaults to Unknown.

Would you like to be informed of upcoming talks and events related to Neuroscience?

Defaults to Yes.