At Large Membership Application for Phi Lambda Upsilon
The National Honorary Chemical Society
last updated: 09/27/2008 
Please fill out this form and print a copy and send to:

Dr. Christine Pastorek
National Secretary for PLU
Department of Chemistry
Oregon State University
Gilbert Hall 153
Corvallis, OR  97331

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: 09/27/08