Off-Line Dues Payment Form
Please print a "hardcopy" of this form, complete it, and then submit it by regular mail along with your check to:Mary D. Frame, Ph.D.
MCS Treasurer
Dept. of Biomedical Engineering
HSC T18-030
State University of New York, Stony Brook
Stony Brook, NY 11794Make your check payable to: "The Microcirculatory Society, Inc."
Please Check Your Membership Status
_________Regular Member, Dues ($105):
Payment includes $45 for dues and $60 for the Society's Journal, Microcirculation. (8-issues per year)._________Associate Member, Dues ($105):
Payment includes $45 for dues and $60 for the Society's Journal, Microcirculation. (8-issues per year)._________Emeritus Member, Dues (Free with no journal, or $60 with journal)
Remember to submit this form regardless of whether you want the journal._________Student Member, Dues ($10 with no journal, or $70 with journal):
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