Association of

Laboratory Managers

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Membership

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ALMA Membership Application

The qualifications and benefits of individual membership are described on the membership page of our website.

The annual dues for an Individual Membership is $80.

To apply for membership, please fill in the following form, print it, and fax or mail the completed printout to:

Association of Laboratory Managers
2019 Galisteo Street, Building I-1
Santa Fe, NM 87505
Fax: 505.989.1073
Tel. 505.989.4683

Name & Contact Information

Salutation (Required)
Dr. Mr. Ms. Miss. Mrs. First Name (Required) Last Name (Required)

Type Organization (Required)
Industry Government Academe Company/Institution Name (Required) Street Address (Required) Address Line 2 City (Required) State (Required) Postal Code (Required) Country (Required) Phone (Required) Fax E-Mail

New Members Only

If you were referred by a current ALMA member, please tell us their name.
Name of ALMA Member Who Referred You

Payment

Payment is enclosed.

Checks and money orders for $80 must be payable to ALMA in U.S. dollars through a U.S. bank.

Charge $80 to my credit card below
VISA
MasterCard
Card Number Expiration Date (Month/Year) Card Holder’s Name Card Holder’s Signature

Please contact ALMA’s office at the address above regarding any questions about membership.

Revised: Saturday, November 24, 2007

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