         
Membership Application
Click here for an MS Word DOC version of the
membership application form.
Click here for a PDF version of the membership
application form.
Click here for a PDF version of our full membership
brochure.
If you cannot open the forms above, print this page and
use it as the membership application form.
Name
_______________________________________________________
Address
_____________________________________________________
____________________________________________________________
Phone ____________________________
Fax ___________________________
E-mail ____________________________
Membership
Category:
Regular member $8.00 _____
Student member $5.00 _____
(Membership applications received after October 1 will
be applied to the following year.)
Please send complete
application and check payable to the Entomological
Society of Pennsylvania to:
Dan Bogar, Treasurer
Entomological Society of Pennsylvania
421 Susquehanna Street
Marysville, PA 17053
MEMBERSHIP
QUESTIONNAIRE
Please provide the
following information to help us keep our membership
directory up to date.
What is your area of
entomological interest? (e.g. agriculture, aquatics,
collecting, forest pests, medical entomology, pest
control, rearing, teaching, beekeeping, etc.)
What insect/arthropod
groups pique your interest?
Do you maintain a
personal collection?
If contacted, would
you be willing to help members with questions or
identifications?
Are you interested in
entomology as a profession, a hobby, or both?
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