2YC3 Membership Form

Dedicated to Maintaining and Improving the Quality of Chemistry Offerings in the Two-Year Colleges

Division of Chemical Education
American Chemical Society

Please consider supporting the 2YC₃ by becoming a member or renewing your membership. Annual dues are only $25.

NEW! Electronic payments (credit card, bank transfer, PayPal) are now accepted! Fill out this form first and you will be sent to PayPal to complete your transaction. Or, you may continue to mail a check for your payment if you like.

	The 2YC₃ lists current dues-paying members on the 2YC₃ website. The list includes names, institutional affiliation, and membership expiration date only. Email addresses and phone numbers will NOT be listed.		Yes, include my name. No, do NOT include my name.
Check your entries above for any errors or omissions. When you are finished checking your entries, click on the "Submit Membership Form" button below. A form will be generated that you may print out and mail with your payment (mailing address is provided on the form), or you will be able to checkout electronically using PayPal. Please note that your membership is not complete until your payment is received. Please contact the membership chair, Frank Ramdayal if you have any questions.

I wish to:	Become a member of 2YC₃ ($25) Renew my 2YC₃ membership ($25)
I am a: (check one)	Two-Year College Teacher Four-Year College Teacher High School Teacher Other
Current Member of: (check each that applies)	ACS DivCHED

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ZIP (9-digit, please):	-	Including your nine digit ZIP code helps us save postage for our newsletter. Look up your 9-digit ZIP at http://www.usps.com/zip4.
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I will pay by:	mailing a check PayPal electronic checkout - also accepts credit card and bank transfers (a PayPal account is NOT required) (For electronic payments, you will be directed to PayPal for secure checkout. No credit card information is stored on the 2yc3.org servers.)