Any individual with an interest in electroanalytical chemistry is invited to join SEAC. Dues are $30 per year. Students are welcome; their rate is $10 per year. A lifetime membership option is available for $300, payable either as a lump sum or in three annual, nonrefundable installments of $100. If you would like to become a member of SEAC, complete the application form and remit dues to the address shown below. Currently, one-half of the annual dues are contributed to the fund to permanently endow the Charles N. Reilly Award.

SEAC Membership Application Form

Name____________________________________________Date________________________

Affiliation_________________________________________Phone_______________________

Street Address/P.O. Box________________________________________________________

City___________________________State________ZIP_____________Country____________

Email Address_________________________________________________________________

Sponsor* Name and Signature____________________________________________________

What is your area of interest in electroanalytical chemistry? (Check all that apply.)

[  ] teaching      [  ] instrument development      [  ] consulting

[  ] research      [  ] student                              [  ] other

Are you interested in participating in SEAC committees? If so, which ones?

[  ] activities      [  ] awards      [  ] finance      [  ] membership   

[  ] nominations      [  ] publications      [  ] website

Dues (check one):

[  ] Regular . . . . . . . . . $30.00           [  ] Lifetime . . . . . . . . . . . . . $300.00

[  ] Student . . . . . . . . . $10.00             [  ] Lifetime Installment . . . . . $100.00

*[  ] Sponsored Student . .First Year FREE        [  ] Renewal of lapsed membership $________

Checks should be drawn on a bank located in the USA or in the form of traveler's check in US dollars. Make check payable to SEAC, and return with this form to the SEAC Secretary:
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