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American Chemical Society 1994 Membership Application
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An Invitation The American Chemical Society, the world's largest scientific organization, invites you to join in membership with more than 146,000 other chemists and scientists in allied fields. We hope this application will provide the opportunity for you to take advantage of the many benefits ACS offers to its members. Please type or print. •
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Demographic Information The following voluntary information is collected for demographic purposes only. Individual confidentiality will be maintained although statistical data may be published in the aggregate. Information provided will not be used or considered in connection with any decision regarding membership. Racial-ethnic origin: LJ White (Caucasian)
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Local Section/Division Commission Claim
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^ ^ ^ • I ^ ^ M H ^ ^ ^ ^ H I ^ H Courses Completed ^ ^ ^ H B H H M H ^ ^ ^ H H NOT REQUIRED of those with a degree in chemistry or a closely related
science.
Please list completed courses (by title) in the chemical sciences. (Attach separate sheet or transcript if more space is needed). Quarter hour credits should be multiplied by two-thirds. If school did not use a credit hour system, please estimate credits on basis of 15 lecture clock hours or 45 laboratory clock hours as equivalent to one semester hour credit. Course Title
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MH^^HH^^HHIM Dues/Subscriptions/Divisions ^MHHHHHB^^Mi D MOST DIVISIONS OFFER FREE MEMBERSHIP TO NEW MEMBERS FOR ONE YEAR! Check here if you wish complete information. There are four start dates for membership: 1 January, 1 April, 1 July, and 1 October. We are anxious to begin your membership as soon as possible and will therefore enroll you immediately upon approval of your application by the ACS Admissions Committee. Dues for 1994 are $96.00. Your membership will begin at the nearest quarter and you will be billed accordingly. Those entering 1 October will be billed for the three remaining months of the year plus the full dues for the following year (or 15 months dues) or the new member may pay for the final three months of the current year only. Former members who did not resign will be assessed a $10.00 reinstatement fee. Please send no money now. Student Discount — A member who is a student majoring in a chemical science or related discipline and registered for at least six credit hours as an undergraduate and who has completed 75% of their curriculum and completed at least 24 credit hours in chemical science, or is recognized by an academic institution as doing full-time graduate work, is entitled to a discount of 50% of membership dues. Special student subscriptions prices for most journals are available. National Affiliation — National Affiliates pay three-quarters dues (i.e., $72.00) and likewise will receive a prorated bill based on the quarter National Affiliation begins. Husband/Wife Dues — If you are the spouse of a member receiving C&EN, a portion of your dues that is allotted for C&EN may be deducted. If you would like to request the deduction, please provide the name of your spouse and his/her membership number on page one. This savings will be reflected on your dues bill. LOW MEMBER SUBSCRIPTION RATES. If you wish to subscribe to any ACS publications, please list them below.
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IUPAC Affiliation ^ ^ ^ ^ ^ ^ ^ M ^ ^ ^ H
The International Union of Pure and Applied Chemistry (IUPAC) offers individual affiliation to members of national chemical societies. Recognized by all the sciences and by the national level academies of science as the international representative body for chemistry, IUPAC is the authority on chemical nomenclature, terminology, symbols, atomic weights, and related topics. IUPAC Affiliate dues for ACS members residing in the U.S. are % 29.00 and include a subscription to Chemistry International magazine. D I u p A C A f f i l i a t i o n $29.00 (U.S. members only).
• ^ ^ • ^ H ^ ^ ^ ^ H H H H B ^ H H Nomination Μ Ι Ι ^ Η ^ ^ ^ ^ ^ Μ Η Η Ι ^ Η ^ Η Nomination by two ACS members is required by ACS Bylaws. If this presents difficulty, please call the Admissions Office at 202/872-4567 for assistance. NOTE: Such nomination is not necessary for former members. Student affiliation does not constitute membership. We recommend
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ACS Member:
^ • • • ^ ^ ^ ^ ^ ^ • • • • • • • H Agreement • • • ^ ^ ^ ^ • • ^ ^ • I ^ H H H M H I attest to the accuracy of information on the application. I agree to restrict for my own personal use all publications to which I subscribe at member rates. I understand that membership dues are payable annually unless my signed resignation is received by the Executive Director before January 1 of the year for which my resignation is to take effect. (DATE)
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