Portland Section ACS Affiliate Membership

To become a Portland Local Section American Chemical Society (ACS) Affiliate Member complete the form below.
A Portland Local Section ACS Affiliate:
Is welcome at all Portland Section meetings and events
Receives all Section notices
May pay voluntary dues of $15
May neither vote for nor hold an elective position
May participate in committees or activities

Instructions:
1. Complete the FORM below.
2. If you pay voluntary dues, PRINT the form and mail it with your check for $15 (payable to Portland Section ACS) to:
Portland Section American Chemical Society
Attn: Bernard Carlsen/Martha Dibblee
PO Box 1741
Portland OR 97207-1741
3. Don't forget to click the BLUE Submit button.
4. We do not share email addresses with anyone. To ensure receipt of email notices include "mgdibblee@icloud.com" in your list of email addresses.

Membership cards are available for those who want them. Please email mgdibblee@icloud.com if you want a membership card. Your membership card will be mailed to the address provided below.
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I hereby apply for Local Section Affiliate Membership:

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    PRINT THIS FORM BEFORE CLICKING ON THE SUBMIT BUTTON BELOW! Mail the form with your check. Thank you.

    PORTLAND SECTION USE ONLY Received by __________________________________________________ Date_____________________ Amount $____________________