change of address

Please complete and submit this form to update your address. If you are not sure we have your most up-to-date address you can search the member directory first. There is a field at the bottom for any special message you may have for the Membership Manager. Please note that the Last Name and E-mail fields must be filled in.



First Name:

Middle Name:

Last Name:
 **Required

Institution:

Department:

Address 1:

Address 2:

City:

State/Province: Zip:

Country:

Phone:

Fax:

E-mail:
**Required

Message to Membership Manager:


(You will be returned to the Biophysical Society main page.)



Biophysical Society - 9650 Rockville Pike - Bethesda, Maryland 20814   Phone: 301.634.7114    Fax: 301.634.7133 society@biophysics.org