Membership Application
Last Name *
Your answer
First Name *
Your answer
Affiliation *
Your answer
Email Address *
Your answer
How will you pay your dues? *
Annual Membership Dues (January - December): students - $15, all others - $30. If paying by check, please make check payable to International Society of Exposure Science and mail your payment to: Neha Sunger, Ph.D., West Chester University, 855 S. New Street, 315 Sturzebecker Health Sciences Center, West Chester, PA 19383
Highest Degree Achieved
check more than one if appropriate
Date Degree Received
Your answer
Are you currently enrolled as a student?
Are you currently a member of the full society?
If yes, as of what year?
Your answer
What is your primary field of interest or study?
Your answer
Would you be willing to be contacted to give a seminar presentation at a future meeting?
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