Smalley InstituteSmalley Institute

 
NanoFANS Membership
This is the 'registration' for a Rice NanoFANS Membership (Friends Advancing Nano Science). Please fill out the form below to Join NanoFANS. Someone from the Institute will contact you within 5 business days about your new membership. Thank you for your support of the Smalley Institute and nanotechnology at Rice University.

   
Personal Information
  * = Required information
Title
First Name *
Middle Name
Last Name *
Address 1 *
Address 2
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State:*
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Country:
Email *
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Phone Type * Home Work Cell
Relation to Rice *
Class Year (if appliclable)
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Additional Information
Company/Institution Name
Company/Institution Description
 
Membership Registration *
NanoFANS Membership    ($10.00)
K-12 Students and Teachers Only. Please note the Tax Deductible Amount is $0.

NanoFANS - Supporter    ($100.00)
Individuals (and spouses) Only. Please note the Tax Deductible Amount is $50.

NanoFANS - Enthusiast    ($1,000.00)
Please note the Tax Deductible amount is $900.

NanoFANS - Corporate Introductory    ($1,000.00)
2 Members. Please note the Tax Deductible Amount is $900.

NanoFANS - Corporate    ($5,000.00)
10 Members Please note the Tax Deductible Amount is $4000.