NCS-AAPT

North Carolina Section of the American Association of Physics Teachers - Banner

NCS-AAPT Membership Application

Title
First Name
Middle Initial
Last Name
Preferred Name to be Greeted by
Mailing Address (include extended zip code)
Institutional Affiliation
Level
Work Phone
Fax
Home Phone
Email
Interests

Feel free to leave out information that you do not want in the data bank.

Submit the above form and mail a $5.00 cheque made out to "NCS-AAPT" and include the notation "Dues" in the "For" or "Memo" area on the cheque. For each additional year add $5.00 or for Lifetime membership, $100.00. Mail the cheque to:

John L. Hubisz
Secretary-Treasurer (Temporary), NCS-AAPT
1604 South Salem Street
Apex NC 27502-7251

For additional information email hubisz@ncsu.edu or call (919)362-5782.