Revised March 1,998
                                  MEMBERSHIP FORM FOR
    U.S. ERA'S ENVIRONMENTAL ACCOUNTING PROJECT'S NETWORK DIRECTORY
                         THIS FORM IS FOR NEW AND CURRENT MEMBERS
                                                                        EPA/742/F-.98/016
FAX TO:
       Kristin Pierre   or
       (202) 260-0178
1. New Member
SEND TO:     Kristin Pierre,        .
              Environmental Accounting Project (7409)
   -   •        U.S. Environmental Protection Agency
              401 M Street,'SW
              Washington, DC 20460
             Existing Member Update	Remove Member Name
2. Please type or print the following information (For updates please be sure to enter vour name):
Name:_
Title:
Name of Organization^
Address:.
Address:	.
Phone:
                                   Fax:
Website:.
E-Mail:
3. Please check the appropriate category(ies) (check up to three categories):
   'Academic:
   	 Research
   	Technical Assistance
   	Curriculum Development

   Government:
   	 Local  .
     '•  State            ;.
        Federal
5.
                                 Business/Industry
                                 Consulting
                                 Environmental Public
                                 Interest
                                 Insurance
                                ;Labor
                                 Lending/Financial
                                 Services
                                 Public Relations
                                 Publishing
                                 Trade.Association '
                                Not for Profit:
                                	 Advocacy
                                	Curriculum Development
                                 -   Research
                                    Technical Assistance
                                    Other
Please describe as you would like it to appear in the Accounting Network Directory and in the space
allotted what you do in the areas of environmental cost accounting.
6.     Please explain as you would like it to appear in the Network Directory what tools, skills, or services
       you or your organization can provide to'others:                                        .
7.     Additional Information:
                                    DQ.NOJ WRITE BELOW THIS LINE

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