MEMBERSHIP APPLICATION

Membership is open to anyone with an interest in tropical veterinary medicine and related disciplines. There are four categories of members: Active, Emeritus, Student, and Honorary.

ACTIVE MEMBERS. Individuals interested in any phase of tropical medicine, hygiene, and related scientific disciplines may apply/be proposed for Active Membership and enjoy the benefits of being a member of STVM.

EMERITUS MEMBERS. Active Members, who have retired, may, with their consent, be designated Emeritus Member by the Executive Board. Emeritus Members do not pay dues, but have all other rights and privileges of Active Members of the Society.

STUDENT MEMBERS. A Student Member has all the rights and privileges of an Active Member, except the right to hold office. Student status must be certified by an Official of their Educational Institution upon application, and annually thereafter. Upon graduation or other termination of student status, the student may apply for Active Membership.

HONORARY MEMBERS. Any individual of good moral character who has achieved eminence in tropical veterinary medicine may be nominated for election as an Honorary Member. Nomination and sponsorship are to be submitted to the Executive Board with biographical information and qualifications. Honorary Members do not pay dues, but have all other rights and privileges of Active Members of the Society.

To join the STVM, please complete form below (or the   Printer Friendly Version) and return to Dr. Edmour Blouin or Dr. Katherine Kocan.

Mark your calendar for STVM-12 to be held in Phuket, Thailand!

                                                 February 2010

Dear               ,

STVM membership dues, due in January, must be current in order to be eligible for the reduced member registration rates for the STVM Biennial meetings.

Dues for two years are: US$80 for Professional  Members ; US $40 for Professional Members  from FAO LIFDC country*;  and US$20 for students (students must indicate degree program status).      

                                                                                                                                        Dues may be paid in US dollars by VISA or Mastercard or by check in US dollars (drawn on a U.S. affiliated bank).  Cash will be accepted if paying in person only;  Please do not remit cash via the postal service.

Please complete this renewal application and return with payment information by postal service  or e-mail to the address listed below.

Name______________________________________E-mail________________________________

 Professional Affiliation_____________________________________________________________

Mailing address____________________________________________________________________

                                Street                               City                                            Postal Code

If paying by mail, send this form to:                                  If paying by e-mail, submit this form to:

Blouin/Kocan,  STVM Secretary-Treasurer                                  Edmour.Blouin@okstate.edu or

Department of Veterinary Pathobiology                                     Katherine.Kocan@okstate.edu

250 McElroy Hall, Center for Veterinary Health Sciences

Oklahoma State University

Stillwater, OK  74078-2007, U.S.A.

Amount of Payment Enclosed (choose one):

• Professional Membership for 2010 & 2011, US$80.00 _________________.
• Professional Membership for 20010 & 2011 from an FAO designated LIFDC* country US$40__________________.
• Student Membership for 2010 & 2011, US$20.00 _________. Degree/status________________.

*For the status of your country as an FAO low-income food-deficit countries (LIFDCs), visit the website:

www.fao.org/docrep/meeting/004/y6691e/y6691e00.htm

Please check one:

  ______­­­­­______Check             ___________VISA          __________  Mastercard            ____________Cash                     

Credit card information:

Name as it appears on the credit card______________________________________________________

Credit Card Number_______________________________________ Expiration Date________________