2023 MEMBERSHIP APPLICATION and RENEWAL FORM

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Thank you for your support of the Entomological Society of Washington!

Dues include an electronic subscription to our quarterly scientific journal, the Proceedings of the Entomological Society of Washington (PESW), and free page charges to publish in the Proceedings (contact the Editor for more details on publication fees).

Dues are for the calendar year (January-December).

There is no membership renewal deadline or late fee, but members joining with print subscription and requesting missed issues will be charged $5 per issue for shipping.

To renew your membership or become a new member, please submit this form online ONLY.

Membership renewal will be complete when payment is received.

Dues can be paid electronically using a credit card or PayPal account at
https://entsocwash.org/default.asp?Action=Show_Membership&ID=PayPal-Dues

Payment by check in U.S. dollars can be made payable to the Entomological Society of Washington and sent to

Dr. Abigail Kula, ESW Treasurer
8772 Susini Drive
Laurel MD 20723-1226

THIS FORM DOES NOT NEED TO BE PRINTED AND SENT WITH YOUR PAYMENT!

Name *

Email address *

Mailing address (For renewing members, enter only if changed in the last year)

Affiliation (if changed)

Entomological interests (for your member profile) (if you would like to update)

New or renewal? *

Membership level? *

Contact the membership chair about our life memberships ($600 with PESW electronic access only or $1200 for PESW electronic access and print issues).

If joining or renewing as a student member, what is your school?

If joining or renewing as a student member, what is your anticipated graduation year?

Will you make a donation with your membership payment? (We will look for the donation when you make your membership payment.) *

I am making a donation to benefit ESW special publications.

I am making a donation to benefit the Young Entomologists group.

I am not including a donation at this time.

Required

Payment method? *

PayPal (see link above)

Check (see address above)

Required

Keep contact information private?

Please DO NOT publish my contact information in the online directory.

Please contact the membership chair if you would like to include a photo with your online directory page.

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