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.)

2012 Membership Form

First Name:

Last Name:

Position:

Department:

Institution:

Address:

City:

State:

Zip:

Telephone:

Fax:

Email:

New Member Renewing Member

	Membership Level
	$25 Faculty Membership
	$10 Post-Doc/Staff Membership
	$ 5 Graduate/Undergraduate Student Membership

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).

Join OMV-SfN!

Instructions

2012 Membership Form

Membership Level