| 2000 US and Canadian Application for Full Membership | 1752 N Street, NW,
Washington, DC 20036. Subscriptions Hotline: (202) 942-9319 / Fax (202) 942-9347 |
HP00 |
If faxing your application with payment by credit card, please do not also mail the original application. |
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| Eligibility ASM welcomes to full membership anyone who is interested in its objectives and has a minimum of a bachelor's degree or equivalent in microbiology or a related field. |
| Initiation Memberships are initiated in January each year. All applications postmarked after September 1, 2000 will become effective January 1, 2001 unless otherwise specified. Memberships processed for 2001 will be charged 2001 prices. $51.00 of the annual dues is credited towards the journal(s) of your choice. Even if no journal is selected, the minimum due is $100. |
Prefix (Please circle preference) Mr.
Miss Ms. Mrs.
Prof. Dr.
First Name ____________________________________ M.I. ______ Family Name
________________________________________________
Mail Address _____________________________________________________________________________________________________________
City ______________________________ State/Province _________ Zip/Postal Code ________________ Country __________________
Telephone _________________________ Fax __________________________ E-mail Address _______________________________________
Highest Degree _________ Year Graduated __________ Birthdate __________________ Sex ____ M _____ F
Signature of Applicant ______________________________________________________________ Date _________
Divisions Please select one voting division on the basis of your primary specialized interest by marking it with a "1" and if desired, a secondary non-voting division reflecting an additional area of interest by marking it with a "2".
| ___A | Antimicrobial Chemotherapy | ___I | General Microbiology | ___Q | Environmental & General Applied Micro. |
| ___B | Microbial Pathogenesis | ___J | Ultrastructure & Function | ___R | Systematic & Evolutionary Microbiology |
| ___C | Clinical Microbiology | ___K | Micro. Physiology & Metabolism | ___S | DNA Viruses |
| ___D | General Medical Microbiology | ___L | Nosocomial Infections | ___T | RNA Viruses |
| ___E | Immunology | ___M | Bacteriophage | ___U | Mycobacteriology |
| ___F | Medical Mycology | ___N | Microbial Ecology | ___V | Clinical & Diagnostic Immunology |
| ___G | Mycoplasmology | ___O | Fermentation & Biotechnology | ___W | Microbiology Education |
| ___H | Genetics & Molecular Biology | ___P | Food Microbiology | ___X | Molec., Cell. & Gen. Bio of Eukaryotes |
| For division descriptions, see http://www.asmusa.org/mbrsrc/mbr41.htm . | ___Y | Public Health | |||
| ___Z | Animal Health Microbiology | ||||
| Journals | ||||||||||
| Print & Online is a discounted rate for purchasing the print and online versions of a journal together. | All Regions |
U.S. |
Canada GST* |
Canada HST** |
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Online Only |
Print & Online |
Print & Online | Print & Online |
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| Access all ASM Journals Online | 165.00 |
$ | ALL |
|||||||
| J Bacteriol | T | 62.00 |
82.00 |
122.00 |
121.00 |
161.00 |
130.00 |
170.00 |
$ | JB |
| J Virol | T | 89.00 |
118.00 |
176.00 | 182.00 |
240.00 |
196.00 |
254.00 |
$ | JV |
| Mol Cell Biol | T | 74.00 |
99.00 |
147.00 | 148.00 |
196.00 |
159.00 |
207.00 |
$ | CB |
| Antimicrob Agents Chemother | M | 41.00 |
55.00 |
82.00 |
83.00 |
110.00 |
90.00 |
117.00 |
$ | AA |
| Appl Environ Microbiol | M | 48.00 |
64.00 |
95.00 | 98.00 |
129.00 |
106.00 |
137.00 |
$ | AE |
| Infect Immun | M | 53.00 |
70.00 |
104.00 | 110.00 |
144.00 |
118.00 |
152.00 |
$ | IA |
| J Clin Microbiol | M | 38.00 |
50.00 |
75.00 |
79.00 |
104.00 |
85.00 |
110.00 |
$ | JC |
| Clin Diagn Lab Immunol | B | 38.00 |
51.00 |
76.00 |
58.00 |
83.00 |
62.00 |
87.00 |
$ | LI |
| Clin Microbiol Rev | Q | 31.00 |
41.00 |
61.00 |
48.00 |
68.00 |
52.00 |
72.00 |
$ | CM |
| Microbiol Mol Biol Rev | Q | 36.00 |
48.00 |
71.00 |
58.00 |
81.00 |
62.00 |
85.00 |
$ | MR |
| [ ] Our
mailing list is made available to commercial interests. Check here if you do not wish to
have your name or mailing address provided to these organizations. [ ] E-mail and fax numbers are not made available to commercial interests, but may be used by ASM to send announcements. Check here if you do not want ASM to contact you by fax or e-mail. *7% GST has been included in the Canadian Print Subscription price. M Monthly T Twice Monthly B Bimonthly Q Quarterly + Your $100 dues include ASM News (monthly). |
Journal Fees Before Credit: |
$ | ||||||||
Subtract Journal Credit: |
$ -51.00 | |||||||||
Journal Fees After Credit: |
$ | |||||||||
ADD 2000 ASM DUES +: |
$ +100.00 | |||||||||
Donation to Friends of ASM Archives: |
$ | |||||||||
MEMBER ADJUSTED TOTAL DUE: |
$ | |||||||||
Payment in U.S. Dollars Must
Accompany Application |
_____ MasterCard _____ VISA _____ American Express _____ Eurocard |
| CARD No. |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| EXP. DATE ___/___ TODAY'S DATE ___/___/___ |
| __________________________________________________________________________________________________ NAME AS IT APPEARS ON CARD |
| __________________________________________________________________________________________________ SIGNATURE |
| Dues Allocation $12 Membership $20 Support Education/Public Affairs/Public Communications $17 ASM News $51 Journal Credit |
Once the membership fee has been paid in any member year, no ASM member may cancel his/her membership; only journal subscriptions may be cancelled. All journal cancellation requests must be received in writing. Verbal subscription cancellations are not acceptable.
Members may receive a pro-rated journal refund minus the ASM journal credit of $51. Cancellation of an online journal entails denial of access to previously accessible issues.
Refunds will not be issued to US and Canadian members unless the refund amount is more than $5. Refunds will not be issued to international members unless the refund amount is more than $20.