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I wish to be considered for an award from the K. J. Fox Memorial Fund to attend the annual confference of the Entomological Society of New Zealand conference. I am a non-funded member of the society and therefore make the following Declaration: I hereby declare that I receive no wages, salary or fees for carrying out investigations into the science of entomology or related disciplines.
Signed.................................................................. Date...................... To be eligible for an award, your form must be returned to: Pauline Syrett
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