Address:________________________________________________________________

Postal/Zip Code: & Country:________________________________________________

Telephone # (Country Code & Area Code):____________________________________

Fax:_______________________________ E-mail:_______________________________

AEHMS Annual Membership Fees
(Includes 4 quarterly issues of the journal, Aquatic Ecosystem Health and Management)

1. Regular membership with Journal ……………………………………… U.S. $60.00 [ ]
2. Discounted membership with Journal …………………………………… U.S. $40.00 [ ]
   (Available to students, retirees and citizens of developing countries)

A. Credit Card: MasterCard: [ ] Visa: [ ]

Card Number:_____________________________________________________________

Expiry Date: ______________________________________________________________

Signature: _______________________________________________________________

B. Cheque: Bank draft or money order in U.S. funds (payable to Aquatic Ecosystems Health and Management Society)

Please provide, briefly, on a separate sheet:
Suggestions of other scientists who may be interested in becoming members (include their address, phone, FAX, etc. and use an additional page for these details).

Signature:__________________________________________________ Date: _________

Return to: AEHMS, P. O. Box 85388, Brant Plaza Postal Outlet,
Burlington, Ontario, Canada, L7R 4K5. Fax: (905) 634-3516
E-mail: mohi.munawar@dfo-mpo.gc.ca
www.aehms.org