MEMBERSHIP FORM

Association of Chairs of Departments of Physiology
    9650 Rockville Pike, Suite E314
        Bethesda, Maryland 20814-3991
            Tel. 301-634-7785; Fax: 301-634-7098

                                                                                 
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Dues are $250/year.
Checks can be made payable to ACDP 
MC/VISA/Am. Express (Circle one) #:______________________________________  Exp. Date: __________

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Return to:
Melinda Lowy
Executive Assistant, ACDP
Suite E314
9650 Rockville Pike
Bethesda, MD 20814-3991
301-634-7098 (fax)

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Copyright © 2008 Association of Chairs of Departments of Physiology
Last modified: August 15, 2008