Cell Stress Society International - Fax-Back Reply Form

TO: +1 860 486-5709

 

Yes, I would like to be a member of the Cell Stress Society International.

Name: _____________________________________________

Mailing address: ________________________________________________________

____________________________________________________________________

Phone number: _______________________ FAX number: ________________________

E-mail: ______________@_______________________________

Please circle your choice

Regular member for 2009 (receives Cell Stress & Chaperones)_______________130 USD

Regular member for 2009/2010(receives Cell Stress & Chaperones)_______________240 USD

Lifetime membership _______________1000 USD

Student/postdoc member for 2009 (receives electronic journal only) _______________35 USD

Student/postdoc member for 2009/2010(receives electronic journal only) _______________55USD

Member for 2009 from a developing country (receives electronic journal only) _______________35 USD

Member from a developing country for 2009-2010(receives electronic journal) _______________55 USD

___________________________________________________________________

To pay by check or money order:

Please make check or money order payable in US dollars drawn on a US bank to the Cell Stress Society International and return to: Cell Stress Society International, MCB Dept., The University of Connecticut, 91 N. Eagleville Road, Storrs, CT 06269-3125, USA

To pay by MasterCard, Visa or American Express: E-mail, phone or fax the amount charged, your name, billing & mailing addresses, card number and expiration date to helen.neumann@uconn.edu

We no longer accept wire transfers of funds because of the bank fees that are deducted automatically from payments

The Society is a public, nonprofit corporation, which enables its members in the U.S. to use their contributions to the Society as a tax deduction. The Society's taxpayer identification number is 06-152-8876.

I would like to donate my subscription of Cell Stress & Chaperones to (name and mailing address):

________________________________________________________________

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