At Large Membership Application for Phi Lambda Upsilon
The National Honorary Chemical Society
last updated: 07/11/2005

Please complete the following form and press the submit button when you finish.  This will send your membership information to the National Secretary for PLU.  Print a copy of the web form results page and mail it along with your check for $35 (new lifetime membership fee as of July 1, 2005) directly to: Dr. Donald Land, National Treasurer for PLU, Department of Chemistry, University of California at Davis, One Shields Ave.  Davis, CA  95616. 
Please note:  your PLU membership will not be official until your dues are validated by the National Treasurer and the following information has been received by the National Office:  

Your Name( Last Name, First Name Middle Initial):

Name of person who nominated you to membership in PLU:

Name of University or College that you are attending:

 

Your Permanent Mailing Address (Street, City, State, Zip):

Your Email Address:

Visit the PLU National Web Site:  www.philambdaupsilon.org
C. Pastorek, Department of Chemistry, Oregon State University
Copyright © 2005[Phi Lambda Upsilon]. All rights reserved.
Revised: 07/11/05