To join The Euler Society or to renew your membership, please print out this form, fill it in, and send it with a check for $25 US to:
Erik R. Tou
Department of Mathematics
Carthage College
2001 Alford Park Dr.
Kenosha, WI 53140
USA
You may use this same form and address to update your membership data.
| Date: | ____ / ____ / _________ |
| Last name: | _____________________________ |
| First name or initial: | _____________________________ |
| Middle name or initial: | _____________________________ |
| Title: | _____________________________ |
| Institution or affiliation: | _____________________________ |
| Address: | _____________________________ |
| _____________________________ | |
| City: | _____________________________ |
| State/Province: | _____________________________ |
| Postal Code: | _____________________________ |
| Country: | _____________________________ |
| Office Phone: | _____________________________ |
| Home Phone: | _____________________________ |
| Email: | _____________________________ |
| Web site URL (optional): | _____________________________ |
_____ check here if this is a new membership application
_____ check here if this is a membership renewal
_____ check here if this is to change your membership data