IOPI Membership Application Form

IOPI Membership Application

This is a form-based membership application.

If you don't have a browser that supports forms, you can apply for membership by emailing the form below the electronic form to: karen@rbgsyd.gov.au OR by printing out that form and mailing it to the Secretary Alex George or faxing it to him on +61-9-337.9404

Last names: First name(s): Title /position:

Institution:

Address 1:

Address 2:

Address 3: Country:

This is an application for:

My /our possible contribution to IOPI:

.


Print out the form below this line to submit by email, post or fax:

IOPI

Nomination for membership
Name:

Address:

Phone:

Fax:

Email:


is hereby nominated as a Participating Centre / Individual Member of IOPI
(cross out whichever term does not apply)

by the following two members of IOPI:

(1) [name]:

of [address]:


and

(2) [name]:

of [address]:


I accept this nomination as an IOPI member

[signed]:

[date]:


Please return completed form to:

Mr Alex George
Secretary IOPI
18 Barclay Road
KARDINYA WA 6163
AUSTRALIA

International Organization for Plant Information (IOPI), authorized WWW server Membership page. K. Wilson (editor). Last modified: 17 July 1997