To join The Euler Society or to renew your membership, please print out this form, fill it in, and send it with a check for $25 US to:
Mary Ann McLoughlin
Department of Mathematics
College of St. Rose
432 Western Ave.
Albany, NY 12203
USA
Use this same form and address to change your membership data.
Last name: | _____________________________ |
First name or initial: | _____________________________ |
Middle name or initial: | _____________________________ |
Title: | _____________________________ |
Address: | _____________________________ |
_____________________________ | |
City: | _____________________________ |
State/Province: | _____________________________ |
Postal Code: | _____________________________ |
Country: | _____________________________ |
Institution or affiliation: | _____________________________ |
Office Phone: | _____________________________ |
Home Phone: | _____________________________ |
Email: | _____________________________ |
Web site URL (optional): | _____________________________ |
_____ check here if this is a new membership application
_____ check here if this is a membership renewal
_____ check here if this is to change your membership data