SEMS Membership Application
MSU-CVM Graduates
Print and mail
Membership Application
-- OR --
Submit online Membership Application Form:
First Name:
*
Last Name:
*
Company or Institution:
Mailing address:
*
City:
*
State:
*
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AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
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MS
MO
MT
NE
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NH
NJ
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ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
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VA
WA
WV
WI
WY
Zip:
*
Telephone:
*
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-
Fax:
-
-
E-mail:
*
URL:
Membership:
*
Individual - $20.00
Student - $10.00
Corporate - $100.00
Faculty Adviser
(if you are student) :
Adviser Phone:
-
-
Adviser E-mail:
As members of SEMS, you been greatly appreciated and valued for your intellectual,
technical, and social contributions to the Society for many, many years. Likewise,
those financial contributions graciously gifted by Members are necessary for the
continued success and vitality of SEMS, one of the largest and most productive of
the MSA/MAS Local Affiliated Societies. SEMS thanks you for all you do to keep SEMS
alive and well.
Donation Amount:
Select a Donation Amount
$10 Donation
$25 Donation
$100 Donation
$250 Donation
$300 Donation
$400 Donation
$500 Donation
$1000 Donation
$5000 Donation
Where would you like your donation directed?
Select the direction of your donation.
Ruska Award
Roth-Michaels Award
Jerome J. Paulin Memorial Lectureship Fund
Technician Travel Support
Student support
*
denotes required field
Membership Information