Atlantic Society of Fish and Wildlife Biologists   E-Mail: ASFWBweb@chebucto.ns.ca   ASFWB Home Page: http://www.chebucto.ns.ca/Environment/ASFWB
MEMBERSHIP APPLICATION FORM
Date: ...............................
NAME :................................................................................ TITLE:.................................................................................... AFFILIATION:......................................................................................................... TELEPHONE: (H)..............................................(O)................................................... MAILING ADDRESS:.............................................................................................. ..................................................................................................................................... ...................................................................................................................................... EMAIL:........................................................................................................................ REGULAR MEMBER ($15): _____ ASSOCIATE MEMBER ($15)_________ STUDENT ($5): __________ Besides newsletters, I would like to receive notices, announcements, etc. by: email ____ regular mail:____ (Newsletters will be mailed out and available online).
Mail a completed copy of this form along with a cheque (payable to Atlantic Society of Fish and Wildlife Biologists) to: Andrew Macfarlane, c/o Canadian Wildlife Service, Environment Canada, P.O. Box 6227, Sackville, N.B., E4L 1G6