IOWA ACADEMY OF SCIENCE

Professional Membership Form

Use this page to join or renew your membership
in the Iowa Academy of Science.
Please contact the IAS Office Manager if you
have any problems with this form.

Items with a * are required.

The information you provide is exclusively for the use of the Iowa Academy of Science
and is not rented, sold, or shared with other organizations or businesses.

*Your E-mail Address

*First Name
*Last Name
*Institution
*Mailing Address 1
Mailing Address 2
*City
*State
*Zip
The above address is my Work Home address.

*Office Phone
enter using the format
319-555-1212

*Home Phone

Fax
AEA (if joining or are already a member of the Science Teaching Section) Keystone AEA 1
AEA 267
AEA 4
Prairie Lakes AEA 8
Mississippi Bend AEA 9
Grant Wood AEA 10
Heartland AEA 11
Western Hills AEA 12
Loess Hills AEA 13
Green Valley AEA 14
Southern Prairie AEA 15
Great River AEA 16

*Dues

New Members

Professional - $60.00
($70.00 minus $10.00 new member discount*)

Full-Time Student - $35.00

*If you have been a member in the last 3 years, discount does not apply

2013 Membership Renewal

Professional - $80.00
Includes a $10 late fee.

Full-Time Student - $35.00

Referral Credits (Renewing Members Only) - You receive one referral credit for each new member you recruit in a year. You receive a $10 discount on membership renewal for each referral credit in the year following referral. The maximum referral benefit is equal to your current dues. Your current number of referral credits is listed on your membership renewal form.

No Credits
1 Referral Credit - $10.00
2 Referral Credits - $20.00
3 Referral Credits - $30.00

 

IAS Journal

Receipt of the Journal of the Iowa Academy of Science is included in your membership.

Check this box if you do NOT wish to receive the Journal.
There is no discount on your membership.

 

Donation

Consider making a donation to the
Iowa Academy of Science

$10.00
$20.00
$30.00
$40.00
$50.00

 

*Total Fees

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Please review all of your information for accuracy before submitting.