American Association for Italian Studies Membership / Dues Form

 

Please indicate dues option on check and mark appropriate slot below

Name_________________________________________________

Position and Affiliation_____________________________________

Mailing Address _________________________________________

______________________________________________________

______________________________________________________

tel (office)__________________ home (opt) ___________________

fax________________ e-mail ______________________________

Membership Categories:

Reg $35____ Student $25____ Couple $50____ Lifetime $450 ____

NEW CATEGORIES

Sustaining $50 ___ Patrons $100 ___ Lifetime $450 ___ Voluntary Contribution $ ______

Contribution to the Women Studies Caucus: Reg $10 Student $5

Contribution to the Gay Caucus Reg $10 Student $5

To begin or renew membership print this page and mail with
cheque payable to AAIS to the following address

Treasurer: Dana Renga
The Department of French and Italian
The Ohio State University
200 Hagerty Hall
1775 College Road
Columbus, OH 43210-1340
Renga.1@osu.edu