INTERNATIONAL SHAW SOCIETY

2012 MEMBERSHIP FORM

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   The annual ISS membership fee is due on January 1 of each year, regardless of when you started during the year.  As the ISS is a non-profit organization, the fee is tax-deductible in the U.S., as are gifts, and may be in other countries as well.  Membership brings an optional discount subscription to the annual hardbound journal SHAW (300 pages or more) at $30 per year ($50 retail), plus mailing costs if not in North America.  To become a member or renew your membership or give a membership, please complete the form below and mail it with your check (cheque) or money order in U.S. dollars made out to “International Shaw Society” and addressed to: ISS, P.O. Box 728, Odessa, FL 33556-0728.  You can speed this process up by emailing via attachment the completed form to the ISS Treasurer at dietrich@usf.edu and by using PayPal.  As U.S. banks now charge 30% or more for checks/cheques in a foreign currency, including Canadian, please send cash instead or use PayPal (PayPal preferred), but add at least $2.00 to cover PayPal charges and direct payment to the dietrich@shawsociety.org PayPal account. Questions?  Email the ISS Treasurer at dietrich@usf.edu.

 

Circle One of the Following: 1. Renewal  2. New  3. Gift (if “Gift,” who is the giver? __________________)

 

 

Membership Fee (in U.S. dollars).    Below, circle whichever applies & fill in Totals:

 

STEP 1—(Required) Select Type of Membership Below:

Fee for 1 Year - 2012

Totals

1A. Standard Membership for One:

$25

Step 1:

$

1B. Standard Spousal Membership (both listed):

$35

1C. Standard Student Membership:

$10

STEP 2 -- Optional Gift - Select a gift amount for 2012 and enter in the column to the right:

Step 2:

$

 

2A. Contributor: $25 to $150

2B. Sponsor:  $200 to $400

2C. Partner: $500 or more (specify):______________.    If your gift is $500 or more, your name may go on a specific ISS grant.  Do you wish to be acknowledged in the giving of the grant:  YES   NO

STEP 3 -- Optional Journal

Step 3:

$

The hardbound journal SHAW 32 (Penn State U. Press) is available to members at the discount price of $30 ($50 retail), plus $5 for mailing costs if you are in a country not in North America.  Enter $30 (if in North America) or $35 (if not in North America) in the column to the right if you want the journal, or enter a zero if you don’t want the journal.

STEP 4 -  If using PayPal, please add at least $2 for PayPal charges.  If sending cash in a currency other than U.S. dollars, it would be appreciated if you would add $2 or more to cover exchange fees.

Step 4:

$

 

 STEP 5 -- TOTAL of Totals (add up the totals in Steps 1, 2, 3 & 4 in the right column:

                            

Step 5:

$


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.   ---  www.shawsociety.org