Affiliate Membership

Membership Dues Payment

Please send your $2 annual dues as cash or check to:

Ilia A. Guzei, Ph.D.
ACS WI Local Section Treasurer
2124 Chemistry Building
1101 University Ave
Madison, WI 53706

We cannot accept credit card payments at this time.

Print Form Download

You can also download a PDF copy of this form and mail it in along with your membership dues.