2007 MEMBERSHIP APPLICATION FORM

Membership in the ISS must be renewed annually in January, and the fee is tax-deductible in the U.S. For all but "Affiliate Members," paid membership brings an automatic subscription to the annual journal SHAW (at least $42 retail). To renew your membership or become a member or give a membership, please complete the form below and mail it with your check or money order (preferably in U.S. dollars) made out to “International Shaw Society” and addressed to: ISS, P. O. Box 728, Odessa, FL 33556-0728. If you prefer to pay in a currency other than U.S. dollars, consult http://www.xe.com/ucc/ for conversion rates and add $1 for bank charges. If paying in a foreign currency, however, first please email dietrich@cas.usf.edu or call 813-503-0584 to make sure that U.S. banks will cash a check (cheque) in a specific currency.

Circle Type of Membership: Renewal New Gift Affiliate

If “Gift,” please print your name____________________________________________.

Would you like the ISS to choose the recipient of the Gift Membership? YES NO

To be eligible for an Affiliate Membership you must be a verifiably paid-up member of another Shaw Society. Affiliates receive all benefits except the journal SHAW.

Annual Membership Fee (in U.S. dollars). Circle whichever applies:

1. Standard Fee: $40

2. Member & Spouse Both Listed: $60 (But share one copy of journal)

3. Student: $20

4. Affiliate: $15 (no copy of journal)

5. Contributor (membership + gift): $75 $100 $125 $150

6. Sponsor (membership + gift): $200 $250 $300 $400

7. Partner (membership + gift): $500 Or specify over $500: $__________.

If you give $500 or more, your name may go on a specific ISS grant. Please indicate if you wish to be acknowledged in the giving of the grant: YES NO

Please print or type:

Name(s) of Member(s):___________________________________________________________

______________________________________________________________________________

Address:_______________________________________________________________________

______________________________________________________________________________

Phone Number(s):_______________________________________________________________

E-Mail Address(es):______________________________________________________________

ISS business is conducted more online than not. If you do not have access to e-mail and need hard copy, please initial here:________________.

Thank you for your membership and contribution.

Questions? Email dietrich@cas.usf.edu.

www.shawsociety.org