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| Name | ______________________________________________________________________ |
| Address | ______________________________________________________________________ |
| ______________________________________________________________________ | |
| ______________________________________________________________________ | |
| ______________________________________________________________________ | |
| ______________________________________________________________________ | |
| ______________________________________________________________________ | |
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| Tel. Nos. | ______________________________________________________________________ |
| Fax Nos. | ______________________________________________________________________ |
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I enclose the sum of :
Please circle for receipt for subscriptions.
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| Please return this form to: | ||
| Prof. Timothy S. Wood | ![]() |
Email: twood@desire.wright.edu |
| Secretary/Treasurer | ||
| International Bryozoology Association | ||
| Department of Biological Sciences | ||
| Wright State University | ||
| Dayton, OH 45435 | ||
| USA |
[This page can also be found on the IBA homepage, if you wish to email your details]
PLEASE NOTE THAT NON-PAYMENT OF DUES WILL RESULT IN TERMINATION OF MEMBERSHIP
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