*Name: 

*Organization:


*Mailing Address:

Fax#:

*Daytime Telephone#:

*Email:

*Occupation:

*Primary interests:

*Sponsored/Referred by:

Please note—2008 Individual and Student membership renewal fees are prorated based on the quarter of the year when your membership lapsed. For example, 1st quarter is January thru March, 2008. In 2009 renewal will occur for all members in January and pro-rating will no longer occur.

*Please check the membership type you plan to apply for or renew: 

Individual 1 Year - 1st quarter  ($60)
Individual 1 Year - 2nd quarter  ($50)
Individual 1 Year - 3rd quarter  ($40)
Individual 1 Year - 4th quarter  ($30)

Student 1 Year - 1st quarter  ($20) 
Student 1 Year - 2nd quarter  ($16) 
Student 1 Year - 3rd quarter ($12) 
Student 1 Year - 4th quarter ($8) 

Library 1 Year  ($50)
Corporate/Agency 1 year  ($250)

Additional Comments:

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