ISEP Membership Form


Name (as it appears on Mastercard if paying by credit card) :

Postal address:

City, state/province, country:

Postal code:

Telephone number:

Fax number:


*Membership dues are US$ 25 (or CAN$ 35) for each two year period.

ISEP membership dues is included for the years 2000 through 200__ .

Total membership payment:                                      ----------

Donation to the Founders' Fund:                              ----------

Total:                                                                            ----------

*** Mastercard option (in Can$ only)   [sorry, no Visa or other]

Credit Card #    --------------------------------      Exp. Date:  ------/------

Signature:       ---------------------------------       Date:  --------------------

(*) Payment may be made by personal check (within the USA & Canada), bank money order or bank draft, international money order, or postal maney order. Payable to "International Society for Evolutionary Protistology". We can also accept payment by Matercard (see above) and we can accept payment for two, four, or more years, and we welcome additional contributions.

Please send payments to:

Dr Gary W. Saunders
Department of Biology
University of New Brunswick
Bag Service #45111
Fredericton, N.B. E3B 6E1