Membership Application

DOWNLOAD APPLICATIONS


You may download our application form, available in:

 

 

and mail it to us either via postage or email. You may use our online application form below.

ONLINE APPLICATION


Your email *:  

 
* We need your email in order to get back to you.

 

 

Title:  

Mr.
 Mrs.
Ms.
Dr.
Others, please specify:

 

 

Surname:  

 
First Name:  

  

Middle name:
(if available)

  

  

 

Nationality: 

  

 
Date of birth:
 

 

 

Membership category:
  

Life
 Ordinary

Student

 

College or university (if student): 
 

  

 

 

Preferred mailing address:
  

 

Postal code: 

  

 

Country: 

  

 

 

Residential address:
 

 

Postal code:

 

 

Country: 
 

  

 

   

Company or organization:
 

 

Title or position: 

  

 

 

Home phone:
 

 

Home fax:  
 

  

 
Office phone:
 		  
Office fax:  

 

 

Are you agreeable to our using only-e-mail communication with you in the future?:  

Yes
 No

 

 

   

Publications requested:  

The Journal of The Siam Society
 The Natural History Bulletin
 Neither

 

 

Your interests:  

Library
Publications
 Art and Culture
Study Trips
Lectures and panel discussions

 

  

Your areas of interests:  

Agriculture
Anthropology
 Archaeology
 Cartography
 Environment
 Ethnology
 Fine/applied arts
Folklore
History
Linguistics
 Literature/drama
 Music/dance
Numismatics
 Philately
 Public health
 Sociology
Travel
 Heritage conservation

 

   

Natural history:  

Astronomy
Biology
Botany
Species conservation
Geology
Mineralogy
Natural resource management
Zoology

 

 

Assistance you can provide to The Siam Society:  

Editing or writing publications
Leading Study Trips
Fund raising
Library
Organizing or conducting lectures and discussions
 Advising or promoting natural heritage conservation (for example, preservation of traditional art or architecture, etc.)

     

 

PROPOSER:  

I recommend this applicant for membership in The Siam Society.

Note: The proposer must be a member of The Siam Society in good standing and must be satisfied regarding the applicant's integrity and suitability for membership in the Society.

 
Name of proposer:
  

 
Membership number:  

 

 

Please refer to this page for information on membership types and related fees.
Copyright © 2001-2007 by The Siam Society. All rights reserved.