1. Your Name:

2. Your E-mail Address:

3. Your Title:

4. School or Institution:

5. Your Address:

6. Your Phone:

7. Your fax:

When you have finished filling in all the requested information, please print this form and mail it, along with $10 - payable to MAMEA - to:

Kathy Fuller , MAMEA Secretary
National Aquarium in Baltimore
501 East Pratt/Pier 3
Baltimore, MD 21202
KFuller@aqua.org

Thank you very much.