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MEMBERSHIP APPLICATION Name________________________________________________________
Address ______________________________________________________________ City _______________________State___________ Zip __________________ Business Affiliation _______________Phone _____________________________ FAX __________________________E-Mail _______________________________ Check appropriate membership category INDIVIDUAL INSTITUTIONAL __ Student - $10 __ General - $100 __General - $20 __ Contributing - $500 __Contributing - $50 __ Donor - $501-$10,000 __Donor - $51-500 __ Patron - $10,000 Mail completed form and check (made payable to GA-EPPC) to: |
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The Bugwood Network and Forestry Images Image Archive and Database Systems The University of Georgia - Warnell School of Forestry and Natural Resources and College of Agricultural and Environmental Sciences - Dept. of Entomology Last updated on Sunday, December 14, 2003 at 01:00 AM Questions and/or comments to the | |