New England Chapter of the Society for Risk Analysis

Membership Application

List of BRAG/SRA-NE Officers

Please fill out the following form and mail it with your annual dues to: Arlene Levin, Eastern Research Group, 110 Hartwell Avenue, Lexington, MA 02421. A Word version of the form is also available to download: member09.doc (59 kb)


SRA-NE Membership Application:

Date  
Name  
Mailing Address  
City, State, Zip  
Telephone  
Email Address  
Employer  
Position  
Area of Interest  
 

Please check here if you DO NOT WANT to receive meeting announcements/newsletters via email. NOTE: We strongly prefer email.

Membership dues for SRA-NE are independent from the dues charges by the National Society for Risk Analysis. Your SRA-NE dues support the activities of this chapter and pay for expenses relating to guest speakers.

Annual dues for SRA-NE are as follows:

$20.00 Regular Member
$ 10.00 Student Member

Thank you for your interest and continuing support of the New England Chapter of SRA and B-RAG. Mail your membership application and payment to SRA-NE Treasurer at the address below.

Please make checks payable to: Society for Risk Analysis - New England Chapter.

Arlene Levin
Eastern Research Group
110 Hartwell Avenue
Lexington, MA 02421

Phone: 617-674-7369
Fax: 617-674-2851

PLEASE Print Clearly, ESPECIALLY THE E-MAIL ADDRESSES

Please RENEW for the 2009-2010 academic year!