Title Membership Application Graphic (6472 bytes)

All memberships begin on entry and are renewed on January 1. Dues are not prorated. See About for additional information

* - required field

Title: (e.g. Mr, Mrs, Ms, Capt, Dr, etc.)
First Name *
Middle Initial:
Last Name: *
Address: *
City: *
State: *
Postal Code: *
Country: (if NOT USA)
Employer:
Phone: *
E-Mail: *

Annual Dues - Check appropriate box

Individual $25
Individual (Houston includes $10 for local dues) $35
Retired and no longer employed in the business of sea surveying $15
Student full-time undergraduate and graduate students (not funded by employer) $10
Corporate $125
If Student, name of Institution

Statement: I wish to apply for membership in the Hydrographic Society of America (THSOA). I agree to further THSOA's mission of promoting education in Hydrography.

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Please print this form and mail with payment to:

The Hydrographic Society
PMB 360
451 Hungerford Dr Ste 119
Rockville, MD  20850

If paying by credit card, the form may be FAXed to 240-209-0795.

If you have any questions concerning a new membership or wish to change your existing membership information email THSOA at "thsoa AT aol DOT com".

Payment must be in U.S Dollars by international draft, postal money order, or by a check drawn on a U.S. bank. U.S. Dollars on a Canadian Bank is acceptable.  We also accept payment by Visa, Master Card or American Express credit cards.

Mastercard
Visa
American Express

Name as it appears on the card:
Billing Address: (if different than above)
Card Number:
Expiration Date: (mm/yy)
Security Code: 3 or 4 digits




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Updated Jan-31-2007
ŠThe Hydrographic Society of America