BCA Membership Form 2008

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BCA Membership Application
BCA Membership Form 2008

Please fill in the form and click the submit button.

Personal Details
Title & Initials: Institution:
Surname: Department:
Address 1: Telephone:
Address 2: Fax:
City:

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Please choose one Main Interest Group and tick any number of Special Interest Groups. The Groups which you select will inform you of their activities.

Main Group: Special Groups: Industrial
Chemical Crystallography
Physical Crystallography
Biological Structures
Membership Fees




Current BCA Member £ 20.00 £
Lapsed BCA Member £ 20.00 £
New BCA Member £ 20.00 £
Unemployed £ 10.00 £
Retired £ 10.00 £
Full Time Student £ 10.00 £
Current Member of the Structural Condensed Matter Physics Group £ 7.00 £
Student - 3yr term £ 27.50 £
Overseas members - 5yr term £ 100.00 £


Membership Fee: £
Donations
I wish to add a donation to my fees as specified below:



General Fund of the BCA £
Arnold Beevers Bursary Fund of the BCA £
Dorothy Hodgkin Prize Fune £