INTERNATIONAL SHAW SOCIETY

2010 MEMBERSHIP  APPLICATION / RENEWAL  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 $47 retail). To see other benefits, please go to www.shawsociety.org/2010-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 (cheque) 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 paying with currency other than U.S. dollars, PayPal is preferred. Add $2.00 to cover PayPal charges and send to dietrich@shawsociety.org.  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.  No cash, please.       

 

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 amount_________

6. Sponsor Member (or member & spouse both listed):

$200 to $400

Specify amount_________

7. Partner Member (or member & spouse both listed);

$500 or more

Specify amount_________

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.

                                                      www.shawsociety.org