CAPB Membership Form New MemberRenewalFirst Name: *Last Name: *Institute: *Address: *Telephone: *Fax: Email: *Membership: *2-yr Regular Members $70 (2024&2025)2-yr Emeritus Members $25 (2024&2025)2-yr Postdoctoral Associate $25 (2024&2025)2-yr Student Members $25 (2024&2025)Regular Members $40 (2024)Emeritus Members $15 (2024)Postdoctoral Associate $15 (2024)Student Members $15 (2024)Year *Please select the year you plan to pay for.2024 & 202520242025 An official receipt will be sent to the subscriber up on receiving the form and full payment to confirm the membership. VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: