Join By Mail - Membership Form

Print this page, fill out the form below, and mail it with your check for one calendar year's dues:

Select Join/Renew:
Joining new member
Renewing current member

Select membership plan:
Single / Family - $30
Full-time Student - $20

Please make checks out to "PSMS" and send to:
Ann Polin, Membership Chair
22265 34th Pl. W.
Brier, WA 98036

Name/Names:

Address:

City: State: Zip:

Phone: Business Phone:

Occupation(s):

E-mail Address:

The Puget Sound Mycological Society is supported entirely by volunteers.
Please check areas in which you might occasionally be able contribute:

artwork carpooling cooking computer cultivation	education field trips library microscopy mushroom show	photography preservation publication taxonomy other: