www.shawsociety.org

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INTERNATIONAL SHAW SOCIETY

2015 MEMBERSHIP FORM

 

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 bi-annual journal SHAW (300 pages or more) at $33 per year (otherwise $55 retail + up to $20 in mailing costs).  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 Western Union 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 using PayPal for the fee, sent to dietrich@shawsociety.org, and by emailing via attachment the completed form to the same address. Credit cards can be used if registered on PayPal.  You can also send cash.

                                    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 - 2015

Totals

1A. Standard Membership for One:

$25

Step 1:

$

1B. Standard Spousal Membership (both listed):

$35

1C. Standard Student Membership:

$10

STEP 2 -- Optional Donation - Select a gift amount for 2014 and enter in the column to the right:

Step 2:

$

 

2A. Contributor: $25 to $199

2B. Sponsor:  $200 to $499

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 Subscription to SHAW 35 

Step 3:

$

The bi-annual journal SHAW 35 (Penn State University Press) is available to members at a discount price. Enter $33 in the column to the right if you want the journal, or enter a zero if you don’t want the journal.

STEP 4 – Optional Subscription to The Shavian and Membership in the UK Shaw Society

Step 4:

$

The UK Shaw Society offers a subscription to the paperback journal The Shavian (3 editions per year) at $25, and with that comes membership in the UK Shaw Society.  Enter $25 to the right if you want this:

STEP 5 – PayPal Fees (optional).

Step 5

If using PayPal, direct payment to the dietrich@shawsociety.org account and please add 5% of total to this point for PayPal fees and enter rounded up amount to the nearest dollar in column to the right under Step 5:

$

STEP 6 -- TOTAL of Totals (add up the totals in Steps 1, 2, 3 4 & 5 in the column to the right.              TOTAL:                           

$

Please print or type:

Name(s) of Member(s):

Address: (write “same” if address has not changed from last year):

 

Phone Number(s): 

E-Mail Address(es):

ISS business is conducted mostly online, so you need a good working email address that you check frequently.   

 Thank you for your membership and contribution.     

www.shawsociety.org

 

STATEMENT REQUIRED OF 501 (c)(3) CHARITABLE ORGANIZATIONS

 BY THE STATE OF FLORIDA UNDER Chapter 496, FLORIDA STATUES,

THE SOLICITATION OF CONTRIBUTIONS ACT

 

INTERNATIONAL SHAW SOCIETY

REGISTRATION#: CH22341

            “A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISIONS OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE.  REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.”