SVAALAS Institutional Membership

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Sacramento Valley Branch American Association for Laboratory Animal Science

Institutional Membership Application

2020 Calendar-year Membership (January 1 through December 31)

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 *

Division / Department

Street Address *

City *

State *

Zip Code *

Phone Number

Fax Number

Website

Institutional Representative:

This is the individual who coordinates the membership and payment of dues for the company. A contact person.

First Name *

Last Name *

Title

Office Phone Number *

Email *

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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