% International Organization for Plant Information (IOPI)
% IOPI electronic communication
% =============================
%
% In order to ensure rapid world-wide dissemination of news relating to
% IOPI it is proposed to establish an electronic mail service for IOPI
% members. This service could be provided through the Australian National
% University's Bioinformatics Centre.
%
% If you would be interested in receiving IOPI updates, then
%
please complete this form and return (by email, post or fax) to:
%
% name David G. Green
% salutation Dr.
% email david.green at anu.edu.au
% address Bioinformatics Centre
% Research School of Biological Sciences
% Australian National University
% GPO Box 475
% Canberra 2601 AUSTRALIA
% fax 61-6-249-4437
% ------------------- cut here -------------------
%
% Personal details
%
FAMILY NAME: ________________________________________________________
GIVEN NAME: ________________________________________________________
SALUTATION: ______________ COUNTRY: ________________________________
LANGUAGES: ________________________________________________________
%
% Contact details
%
EMAIL: ________________________________________________________
PHONE: _________________________ FAX: _
________________________
ADDRESS: ________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
%
% Professional details
%
ORGANIZATION: ________________________________________________________
SECTION/DEPT.: ______________________
__________________________________
POSITION/TITLE: ________________________________________________________
%
% Relevant affiliations?
% Delete/add entries as appropriate
%
AFFILIATIONS (e.g. IOPI, TDWG, BIN21):
________________________________________________________
%
% Interests/expertise
%
% What are your main professional activities?
% Delete/add entries as appropriate
%
PROFESSION:
[ ] administration [ ] commerce [ ] consultancy
[ ] education [ ] legislation [ ] management
[ ] politics [ ] public service [ ] research
[ ] other ________________________________________________________
%
% Areas of technical expertise?
% Delete/add entries as appropriate
%
EXPERTISE:
[ ] biolo
gy [ ] computing [ ] economics
[ ] biogeography [ ] botany [ ] ecology
[ ] ethnobotany [ ] taxonomy [ ] zoology
[ ] other ________________________________________________________
%
% Computing interest/specialties?
% Delete/add entries as appropriate
%
COMPUTING:
[ ] none [ ] general
[ ] GIS [ ] information [ ] netw
orks
[ ] hardware [ ] programming [ ] systems
[ ] other ________________________________________________________
%
% Botanical interest/specialties?
% Delete/add entries as appropriate
%
BOTANY:
[ ] none [ ] general
[ ] Algae [ ] Lichens [ ] Fungi
[ ] Gymnosperms [ ] Monocutyledons [ ] Dicotyledons
[ ] Bryophytes [ ] Pteridophyte
s
[ ] other ________________________________________________________
%
% Broad geographic regions of interest/specialization
% Delete/add entries as appropriate
%
GEOGRAPHIC: South America, Africa, Australasia, Europe
[ ] None [ ] General [ ] Africa
[ ] Asia [ ] Australasia [ ] Europe
[ ] North America [ ] South America
[ ] other ___________________________
_____________________________
%
% Add any further information you consider relevant
%
COMMENTS:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
