American Biological Safety Association

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  Mid-Atlantic Biological Safety Association
 

MABSA Membership Application

Name

Certification/Licenses

Degree(s)

Title/Position

Company/Organization

Address

Telephone

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Individual Membership $20.00  

 
MABSA is open to all individuals interested in biosafety. If you wish to be a member, please complete this application by providing the information requested, as you would like it to appear in the membership directory.
Print the application and send with a check for $20.00 payable to MABSA, to the treasurer:
Brian R. Petuch
Merck Research Laboratories
PO Box WP44-204
West Point, PA 19486
 
 brian_petuch@merck.com