INTERNATIONAL SHAW SOCIETY
2009 MEMBERSHIP APPLICATION FORM
Memberships
in the ISS are from January 1 to December 31 and must be renewed annually. 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 see other benefits, please go to www.shawsociety.org/2009-Membership-Form-&-Benefits.htm.
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 the equivalent of $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
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:
|
Select Type of Membership |
Fee for 1 Year |
|
1. Standard
Membership: |
$45 |
|
2. Standard Member & Spouse both listed, but share one copy of
journal: |
$60 |
|
3. Student: |
$25 |
|
4. Affiliate (no copy of journal): |
$15 |
|
5. Contributor
Member (or member & spouse both listed): |
$75 to $150 / Specify ______ |
|
6. Sponsor Member
(or member & spouse both listed): |
$200 to $400 / Specify_____ |
|
7. Partner Member
(or member & spouse both listed); |
$500 or more / Specify_____ |
|
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 email and need hard copy,
please initial here________. Thank you for your membership and
contribution.
Questions?
Email dietrich@cas.usf.edu or
call 813-920-2986.