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Trainee Membership Application Form

  
 

Print this page, complete the application, and submit this form to:

The American Association of Immunologists
Attn: Membership Department
9650 Rockville Pike
Bethesda, MD 20814-3994
Phone: (301) 634-7195 * Fax: (301) 634-7733

  
      
   
  
     
 

SECTION 1 -- APPLICANT INFORMATION

  
     
  Have you been an AAI Trainee Member in the past?  □ Yes     □ No  
     
  □ I am a Pre-doctoral Trainee -- I expect to receive the _____________ (advanced degree) in _____________ (mo/yr).  
     
  □ I am a Post-doctoral Trainee -- I hold the following advanced degree(s) (please indicate all advanced degrees held and the month and year conferred):________________________________________________________________.  
 

 

Applicant's Name
(First, MI, Last):		  
Department:  
University or Institution:  
Mailing Address:  
City, State, Postal Code:  
Country:  
Phone Number:  
Fax Number:  
Email Address:  

SECTION 2 -- CERTIFICATION OF APPLICANT'S TRAINEE STATUS
 (to be completed by current AAI member)

As a current member of AAI, I hereby certify that the applicant identified above is either a regularly matriculated pre-doctoral student or a post-doctoral trainee and, as such, is eligible to become a Trainee Member of The American Association of Immunologists.

Current AAI Member's Name
(First, MI, Last):		  
Signature:  
Title:
(Dean, Dept. Chair, or Professor in Charge)		  
Date:  
Mailing Address:
(if different from above)		  
City, State, Postal Code:  
 
 

SECTION 3 -- APPLICANT PLEDGE AND PAYMENT

I, ________________________, pledge that a subscription to The Journal of Immunology purchased by me at the special Trainee Member rate is for my personal use.  I agree that my print or online subscription will not be shared, placed in a library or on a server for general use, sold, or used to replace a subscription currently purchased by an institution. 

1 January - 31 December 2010
US Member Canadian Member International Member
□ $64.00
Please select:
□ Online   □ Print and online 		□ $65.55
(online subscription; GST incl.)		 □ $64.00
(online subscription)
□ $195.55
(print, online, GST & airmail incl.)		 □ $194.00 
(print, online & airmail incl.)

□ VISA □ Mastercard □ American Express

□ Check Enclosed 

Card Number:_______________________________________________ 
Expiration Date:_____________________________________________
Applicant's Signature:________________________________________

For checks outside U.S., please submit International Money Order or Checks drawn on U.S. Banks.

 
 
      
  Trainee membership applications are reviewed when they are received by the AAI Office. Trainee applicants will receive The Journal of Immunology when they become AAI Trainee Members. We cannot provide Trainee Members with back issues of The Journal due to the high costs of distributing back issues.
  
      
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Page last modified: 12/21/2009