This site is hosted by the WSU Boonshoft School of Medicine.

OMV-SfN
Ohio Miami Valley Chapter
Society for Neuroscience


Join OMV-SfN!

You do not have to be a member of the Society for Neuroscience to join the OMV Chapter. Annual dues are modest -- $25 for faculty, $10 for post-doc's and staff, and $5 for graduate/undergraduate students. Your dues help to support OMV-SfN's annual Neuroscience Day, held in the spring, and the winter business meeting.

Instructions

Step 1: Use the online form below to submit your membership information. After you click the "Submit" button at the bottom of this page, your information will be entered in an OMV-SfN database and you will see another web page displaying your Membership Dues Invoice.

Step 2: Print out your Membership Dues Invoice. Send it with your dues payment to OMV-SfN Secretary/Treasurer Kim Hagler:

  Kim Hagler
OMV-SfN Secretary/Treasurer
105a White Hall
Wright State University
Dayton, OH 45435

Method of payment: Send check or money order made payable to the Ohio Miami Valley Neuroscience Group. (Sorry, OMV-SfN cannot process credit card payments.)

2009 Membership Form
First Name:
Last Name:
Position:
Department:
Institution:
Address:
City:
State:
Zip:
Telephone:
Fax:
Email:
New Member             Renewing Member
 
Membership Level
 
 
 
         

If you have problems using this form, contact Kim Hagler at Wright State University Boonshoft School of Medicine (937-775-4496; kimberly.hagler@wright.edu).

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This site is hosted by the WSU Boonshoft School of Medicine.
Send questions, comments and suggestions to Mark Willis. Last updated 01/7/08 (mw).