Hyderabad Mosquito Control Association

HYDERABAD MOSQUITO CONTROL ASSOCIATION Vector Biology and Control laboratory, Department of Zoology, P. G. College of Science, Osmania University, Saifabad, Hyderabad, INDIA -500 004. www.hmca-ca.com

New Membership Form

Name:_________________________________________________________________

Organization:___________________________________________________________

Mailing Address:_________________________________________________________

City:___________________________________ State:_________

Zip Code:_______________________

Telephone:_________________________________________Fax:_________________

Email:_________________________________________________________________

Regular Membership entitles member to one vote and the right to hold an office in the Association.

Sustaining Membership qualifies the member for one Active Membership,

Individual registration at the Annual Educational Conference and a listing in all publications.

The individual name listed above will be considered the individual contact for the Sustaining Member organization.

Questions or comments can be directed to Dr. B. Reddya Naik, Secretary-Treasurer, phone 9290491044 or

bannothreddya@osmania.ac.in

Form

Registration form

You will receive an email shortly to confirm your subscription.
Your e-mail address is protected per our privacy policy.

CONTACT INFORMATION

FIRST NAME

LAST NAME

E-MAIL ADDRESS

PHONE NUMBER 1

PHONE NUMBER 2

FAX NUMBER

COUNTRY

MAILING ADDRESS

Zip Code :


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