Association of Education and Research Greenhouse Curators

AERGC - Membership Form

Please check all that apply:

Renewal    New Membership   

Membership dues are $20 (US dollars) per calendar year, $29 (US dollars) outside North America.

1 yr.    2 yrs.    3 yrs.

Amount Enclosed $ ______________

Please make checks payable to: University of Illinois / AERGC

Update Membership Information

Name ______________________________________________  Date ______________________
                         
Title __________________________________________________________________________

Department _____________________________________________________________________

Institution ____________________________________________________________________

Address ________________________________________________________________________

Address ________________________________________________________________________

City ___________________________________________________________________________

State/Province ___________________________ Zip+4/Postal Code ___________________

Country ________________________________________________________________________

Phone (_______)________________________  Phone (_______)________________________

E-Mail _________________________________________________________________________

   URL _________________________________________________________________________

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Please send completed form with payment to:

AERGC

c/o Plant Care Facility, Office of Research
University of Illinois at Urbana-Champaign
1222 Plant Sciences Laboratory
1201 South Dorner Drive
Urbana, IL 61801