IMPORTANT Please Type or Print Clearly.
            If we can't read it we can't process your application!
 
           Name _________________________________________________
 
Mailing Address _________________________________________________
 
                _________________________________________________
 
      Country   ___________________    Postal Code ________________
 
Optional Information:
 
Phone No. _________________ Internet Address ______________________
If a faculty member or otherwise associated with an institution,
please list institution and position below.
 
 __________________________________________________________________
 
 __________________________________________________________________
 
SPECIAL INTERESTS IN CARNIVOROUS PLANTS (circle or mark any number or all)
 
Art              History           Photography       Systematics
 
Ecology          Horticulture      Physiology        Taxonomy
 
Field Trips      Morphology        Phytochemistry    Tissue Culture
 
Geography        Plant/Animal Relationships
 
Other _____________________________________________________________
You may also wish to describe briefly any other special training,
experiences, or talents you may have that may be especially helpful
to the Society. (Continue on additional Sheets if necessary):
 
 __________________________________________________________________
 
 __________________________________________________________________

Do you read and/or write any other language(s). Would you be willing to
translate articles into English for printing in C.P.N.?
 
 __________________________________________________________________
Circle or mark the items below that apply to you.
 
     [ ] I do not wish my name to be published in the society roster 
 
     [ ] I do not wish my name to be lent or sold to other societies,
              commercial concerns ect...
 
     [ ] Please send me a copy of the by-laws.


CPN Back Issue Pricelist: 

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                            U.S.A. &  Canada       All others
       1996 (Vol. 25)            $15.00              $20.00
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Single Back Issue Prices, Order By Volume or Year.
 
                                   U.S.A. &  Canada      All others
1989 -> 1995; (Vols. 18 -> 24)         $15.00/Year          $22.50/Year
1972 -> 1988; (Vols.  1 -> 17)         $08.00/Year          $10.50/Year
 
Please note 1972 -> 1978 (Vols. 1 -> 6) are black & white Photo Copies
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Package Back Issue Prices, Any Five or More Issues.
 
                                   U.S.A., Canada     All Others
1989 -> 1995; (Vols. 18 -> 24)       $12.50/Year        $15.00/Year
1972 -> 1988; (Vols.  1 -> 17)       $08.00/Year        $10.50/Year
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Make all payments in UNITED STATES FUNDS ONLY with checks/money orders
payable to I.C.P.S.  Cash is also accepted at the senders own risk. 
Dues will be accepted in U.S.  funds only.  Dues include membership in
I.C.P.S.  access to the seed bank and subscription to Carnivorous Plants
Newsletter. 
        
        
DUES $ 15.00 U.S.A.  & Canada DUES $ 20.00 All other countries. 
 
 
 
 
	Item:					   Cost:
 
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                          Total Enclosed:          ______________________

		    

Signed ____________________________________________
 
 
Please apply dues for the year ________1997__________


 
Please mail Application or Back issue request to our Secretary/Treasurer:

     ICPS
     c/o Rick Walker  (acting Sec'y/Treas.) 
     2060 Oberlin St.
     Palo Alto, CA 94306 USA
     (650) 856-2354
     rick_walker "AT" omnisterra.com

 
I sincerely hope you choose to join us!