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ABRF Membership Application Form


Please note that the contents of this membership form are handled by:

ABRF
9650 Rockville Pike
Bethesda, MD 20814-3998
Phone:  301-634-7306
Fax: 301-634-7420
Email: abrf@abrf.org

The contents of this form are encrypted using Secure Sockets Layer (SSL) before sending your information over the Internet. If you are having trouble submitting this form, you can try the non-SSL version.

This electronic form requires your credit card details. If you are uncomfortable about submitting those details electronically, please print the PDF version of this form from your Web browser and mail or fax it, together with either your credit card details or a check (mail only), to the above address.

Please Note: Please allow one week for the verification and processing of your membership. Your password for full access to the ABRF web site will not be activated until your membership application has been processed.

Checks payable to "ABRF" and to be drawn on U.S. Banks only.

ABRF Tax ID Number: 56-1659510

Membership Renewal:
Renewing your membership online now requires you to log in and use the Member Tools area to submit your renewal. If you are a current member and do not have a User Name and Password to access member-only areas of ABRF.org, please call our offices at the number above to obtain a set. Please do not use this form for membership renewals.

Membership Types:

A. Member ($85)
Voting members of ABRF are individuals who work in a resource or research laboratory.

B. Student Member ($35)
A student member must be a full-time undergraduate, graduate or medical student, as certified by his department chair or major advisor. Applications for student membership should be printed and mailed or faxed along with a letter from the applicant's departmental office or advisor verifying that the applicant is a student.

Form items marked with a * are required.
Salutation (eg. 'Dr.'):
* First/Given Name:
Middle Name/Initial:
* Last/Family Name:
Organization Name:
Job Title:
* Phone (business hours):
* Email:
* Confirm Your Email:
Fax:
* Address Line 1:
Address Line 2:
* City:
* State/Province/Region:
* Zip/Post Code:
* Country:
* If you do not have a US address, the State and Zip Code fields are not required but should be provided if relevant.
Web Site URL:
Make my white page listing public to all visitors to the abrf.org site.
Make my white page listing available to ABRF members only.

* Do you work in a resource laboratory?  
     If 'Yes', please list your director's name:  
* Lab Facility Association  
     If 'Other', please enter your facility's name:  

Please choose a User Name and Password for accessing special member-only services on the ABRF.org Web site.
* User Name:
 
* Password:
* Confirm Password:

Please mark your technology interests:
Protein/Peptide Chem
Amino Acid Analysis
C-terminal Sequencing
Edman Sequencing
Peptide Synthesis
Peptide/Protein Arrays
Post-translational Modifications
Proteomics
Automation
High throughput Screening
LIMS
Robotics
Physical Chemistry
Calorimetry
Light Scattering
Micro Arrays
SPR
Ultracentrifugation
Separations
1D Gels
2D Gels
Capillary Electrophoresis
Chromatography
Electroblotting
HPLC
Recombinant Protein Purification
Nucleic Acid Chem
DNA Sequencing
DNA Synthesis
Gene Array
Genotyping
Real Time PCR
RNA Synthesis
Template Preparation
QC
GLP
GMP
Quality & Compliance
Mass spectrometry
ICAT
MS-Carbohydrates
MS-Lipids
MS-Nucleic Acids
MS-Proteins-Intact
MS-Proteins-Sequence
MudPit
Peptide Mass Mapping
Other
Bioinformatics
Carbohydrate Analysis
Differential Display
Microscopy & Imaging
Recombinant Protein Production

* Pay Membership Dues for:
* Credit Card Type:
* Name on Card:
* Card Number: Numbers only please, no spaces or dashes.
* Security Code: (what is this?)
* Expiration Date: /

Feel free to enter any comments you would like to make to the ABRF Business Office handling this application in the field below.