Michigan Chapter of the American Fisheries Society
Membership Application or Change of Address Notice

Annual dues are $5.00, made payable to "Michigan Chapter, AFS".

Please send dues and completed form to:

 

  Dan Traynor  
  Michigan Department of Natural Resources  
 

Marquette Fisheries Research Station

  
  484 Cherry Creek Road  
  Marquette, MI 49855   
 
 
 
Name:________________________________________________________________________
 
Are you retired? ______Yes ______No
 
Are you a member of the Parent Society? _____Yes ______No
 
Member Type: ______Regular ______Student
 
Company/Agency: ______________________________________________________________
 
Department/Division: ____________________________________________________________
 
Station/Office: _________________________________________________________________
 
Address: ______Work ______Home
 
______________________________________________________________________________
 
______________________________________________________________________________
 
City: _____________________________ State:______________  ZIP Code: ___________ 
 
 
Telephone: ______Work ______ Home    Number: (_____)_________________  Extension: ________
 
Fax  : ______Work ______ Home    Number: (_____)_________________
 
Email (please print clearly):_______________________________________