SVAALAS Institutional Membership
Sacramento Valley Branch American Association for Laboratory Animal Science
Institutional Membership Application
2020 Calendar-year Membership (January 1 through December 31)
* Required
The Institutional Membership is for Companies, Institutions, or Academic Departments that would like to support the Sacramento Valley Branch AALAS with multiple members. The annual dues structure is provided below.
One member will be the Institutional Representative. This individual is the contact person for membership matters, payments, renewals etc. Additional members may be listed on the second page.
Company
*
Your answer
Division / Department
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
Your answer
Fax Number
Your answer
Website
Your answer
Institutional Representative:
This is the individual who coordinates the membership and payment of dues for the company. A contact person.
First Name
*
Your answer
Last Name
*
Your answer
Title
Your answer
Office Phone Number
*
Your answer
Email
*
Your answer
How did you find out about SVAALAS?
SVAALAS Member
From a flyer, newsletter, or an event
Co-Worker
Commercial Representative
National AALAS
I am able to support the following Branch commitees and functions:
Membership
Education & Programs
Awards & Public Relations
Nominations & Elections
My Institution can help support the Sacramento Valley of AALAS via the following:
My membership
Sponsoring a Branch Educational Meeting
Sponsoring a Wet Lab
Sponsoring a full day seminar
Sponsoring an Award
Sponsoring the Awards Banquet
Other
Institutional Membership Annual Dues Structure:
Memberships valid through the calendar year; ending December 31, 2020.
Please select the Institutional Membership Level:
*
$35 - Institutional Level D (4 Members)
$80 - Institutional Level C (10 Members)
$350 - Institutional Level B (50 Members)
$600 - Institutional Level A (100 Members)
Membership payment may be made by Paypal or check. Please make checks payable to: SV-AALAS ($30.00 fee for returned checks)
SVAALAS
PO Box 4504
Davis, CA 95617-4504
Email: Shannon Powell (
shannonp@gene.com
)
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