Middle Atlantic Archaeological Conference
Membership Application/Renewal
| Faye L. Stocum MAAC Membership Secretary |
|
| c/o DE Division of Historical
& Cultural Affairs 21 The Green Dover DE 19901 |
|
| Check membership category: | |
| ____ Individual for 2007: $25.00 | ____ Individual for 2008: $30.00 |
| ____ Institutional for 2007: $25.00 | ____ Institutional for 2008: $30.00 |
| ____ Joint for 2007: $35.00 | ____ Joint for 2008: $40.00 |
| ____ Student* for 2007: $20.00 | ____ Student* for 2008: $25.00 |
|
* Photocopy of Student I.D. required |
|
| additional fee (if applicable): | |
| ____ non-U.S. address $ 5.00 | |
| Total Amount Enclosed: ________ | |
| Please make check or money order payable to: MAAC (in U. S. funds) (returned checks subject to a $25.00 penalty.) | |
Please print:
Name ___________________________________________________
Address _________________________________________________
________________________________________________________
City __________________________ State _____ Zip Code_________
Country (other than U.S.A.) ___________________________________
E-mail Address ______________________________
Phone Number ______________________________
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