The American Society for Bone and…

                               The American Society for Bone and Mineral Research
                  2025 M Street, NW, Suite 800, Washington, DC 20036-3309, USA · Tel: (202) 367-1161 · Fax: (202) 367-2161
                     E-Mail: asbmr@asbmr.org · Internet: www.asbmr.org · ASBMR Tax Identification Number: 43-1123207
                                                    MEMBERSHIP APPLICATION
                                                        January 1 to December 31, 2008
ASBMR MEMBERS ENJOY VALUABLE BENEFITS... an annual subscription to the Journal of Bone and Mineral Research (JBMR), the opportunity to
present or sponsor an abstract at the ASBMR Annual Meeting, discounted registration fees, as well as free ONLINE access to the JBMR, ASBMR
Membership Directory, Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism, and Job Placement Service. Join ASBMR today by
completing this application or visit our website at www.asbmr.org.

DO YOU QUALIFY? Any individual with a doctoral degree (M.D., D.D.S., D.V.M., Ph.D., or equivalent degree) who has published at least one creditable
paper, monograph, or other publication in the field of bone and mineral research is eligible for Society membership.

ASBMR's POLICY allows any individual with a doctoral degree (as stated above), who has not published at least one creditable paper, monograph, or
other publication in the field of bone and mineral research to apply for Society membership by simply appending a suitable explanation for the omission of
a publication to his or her application. No other documentation is required.

Any individual who lacks either a doctoral degree or publication in the field may still apply for Society membership by appending to his or her application a
suitable explanation, along with a letter of endorsement from a current member of the Society. These applications will be submitted to the Membership
Review Committee for approval.

Membership Type (check one):
  Full Member (U.S. and International) $215.00                                              In-Training $80.00*
* Members In-Training: Please submit a letter from your mentor documenting your training status. No doctoral degree or publication is required.
First Name: _____________________________ Middle Initial: ______                             Last Name: ______________________________
Degrees:        M.D.      Ph.D.          List other degrees: ____________________________ Date Received: ________________
Mailing Address:
Title: ________________________________________Department:____________________________________________
Institution/Company: ___________________________________________________________________________________
Street Address: _______________________________________________________________________________________
City: _________________________________________State/Province: __________________________________________
Zip Code/Postal Code: __________________________ Country: _______________________________________________
(If you reside outside of the US, please provide country and city phone codes.)
Telephone (Office):_____________________________ Fax: __________________________________________________
E-Mail: ______________________________________________________________________________________________
Mailing Address for JBMR (if different from above): ___________________________________________________________
____________________________________________________________________________________________________
 Publication (List one.):__________________________________________________________________________________
____________________________________________________________________________________________________

Payment Information:
___ Check/Money Order enclosed (Please make payable to
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 Remit application and appropriate fee, payable in U.S. Dollars to:                          ________________________
 By Mail to:
 ASBMR, 2025 M Street, NW, Suite 800
 Washington, DC 20036-3309 USA
 By Fax to: (202) 367-2161'
 By Email to: asbmr@asbmr.org