V 
WISCONSIN ENTOMOLOGICAL SOCIETY 
MEMBERSHIP APPLICATION 
Please Print: 
Last Name 
Address: 
Street 
Organization represented (if any) 
Title or Occupation 
First Name 
City State Zip 
Phone: (include area code) 
Individual membership ($2.00 per year) 
________ Organization membership ($10.00 per year) 
Sustaining membership ($5.00 per year) 
Patron membership ($25.00 or more per year) 
General Interest Area 
Aquatic Insects Collecting and/or Taxonomy 
4-H or Scout Member Insect Photography 
Extension Worker Physiology 
Life History, Biology, & Behavior Apiculture 
Other Pest Control 
Specify 
Specific Interests (Order, Family, Genus) . 
If you are an authority for certain Insect taxa, would you be willing to 
Identify Wisconsin specimens for members? Yes No 
*************** 
Make checks payable to Wisconsin Entomological Society and mail to the 
Treasurer, Wis. Entomol. Soc., Dept, of Entomology, 237 Russell Labs., U. Wise., 
Madison, Wise. 53706 . 
