Society for Light Treatment and Biological Rhythms

Dues Categories

See membership descriptions for explanations.

Regular $85

Associate $85

Student $15

Retired $40

Corresponding $ 0

Corporate $600

Journal Options

Jnl of Biological Rhythms $ 65

JBR International $ 89

JBR Canada $ 94

Payment Summary

Dues $_______

Journal $_______

Total Due $_______

Check (US Currency)

Visa

MasterCard

Contributions to SLTBR are deductible as charitable contributions for federal income tax purposes. Return this form with your payment. Please make check in US Currency payable to SLTBR, 4648 Main Street, Chincoteague, VA 23336 USA.

Membership Category Descriptions

Regular Members are professionals with advanced degrees or equivalent who are actively working in the field of light treatment or biological rhythms, as evidenced by clinical work, research or publications in peer-reviewed journals.

Associate Members are persons interested in light treatment and biological rhythms.

Corresponding Members are research colleagues working in countries from which dues cannot be transferred in US funds to our membership offices.

Corporate Members are manufacturers and distributors of light treatment apparatuses and ancillary equipment, publishers of books and journals on relevant themes, light therapy clinics, etc.

Retired Members are those who have officially retired from a full-time academic position.

Please complete this form to update your SLTBR directory listing and mailing address. Please print or type.

Name______________________________________________________________________________________

First MI Last Degree (PhD, MD, RN)

Title _________________________________________________________________________________________

(e.g., Professor of Psychiatry, Chair of Department…)

Affiliation_____________________________________________________________________________________

Address ______________________________________________________________________________________

City ___________________State _______________Postal/Zip__________________ Country_________________

Office Phone___________________________________Fax ____________________________________________

Email ________________________________________________ (You must have an email address for the listserv)

1. Highest Degree (check one) 3. Do you wish to be included on the Public

Associate _____ MD _____ DC _____ Information Packet Clinical Referral List

BA/BS _____ PhD _____ DDS _____ (To be listed as a practitioner, you must be

MA _____ MD/PhD____ DO _____ licensed.)

Other ______________________ Yes _____ No _____

2. From what institution did you receive your If yes, please complete all items on this page .

highest degree?

_____________________________________ Practice license no. _______________________

State/Province ___________________________

4. Check up to 5 specialty areas:

2007 Membership Invoice

Dues Categories

Journal Options

Payment Summary

Membership Category Descriptions

Retired Members are those who have officially retired from a full-time academic position.