Check Appropriate Box: ____ $ 5  Junior/High School Student Membership ____ $10  Junior/High School Student Membership               (including the KAS Newsletter & 1 issue of the                             Journal of the Kentucky Academy of Science) Section Choice ________________________________________ Payment Enclosed $ ____________________________________ Name ________________________________________________ Street ________________________________________________ City _________________________________________________ State _______ Zip ___________________ County _______________________________________________ School ____________________________________ School Sponsor ________________________________________ Phone _____________________ FAX:______________________ e-mail address _________________________________________ Please make checks payable and mail to: Kentucky Junior Academy of Science P.O. Box 22579 Lexington, KY  40522-2579

[return]