Research - Technology - Communication - Education
Search

Advanced Search

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.

Membership Information
Salutation (eg. 'Dr.')
First/Given Name
Middle Name
Last/Family Name
Organization Name
Job Title
Phone (business hours)
Email
Email (confirm)
Fax
Address Line 1
Address Line 2
City
State/Prov./Region
Zip/Post Code
Country
Web Site URL
White Page Listings
Lab Affiliation
Do you work in a resource laboratory?
Lab Facility Association
If 'Other', enter facility name:
Username and Password
User Name
Password
Confirm Password
Membership Dues
Membership Term
Credit Card Type
Name on Card
Card Number: Numbers only please, no spaces or dashes.
Security Code (what is this?)
Expiration Date /
Comments Feel free to enter any comments you would like to make to the ABRF Business Office handling this application in the field below.
Technology Interests Please mark your technology interests:
Protein/Peptide Chem
Automation
Physical Chemistry
Separations
Nucleic Acid Chem
QC
Mass spectrometry
Other