|
EASTERN
ECONOMIC ASSOCIATION
MEMBERSHIP
FORM
Name:
_____________________________________________
Mailing
address: _____________________________________
City:
_________________________________ State: ____ Zip:
_____
Telephone
number: _____________________
Fax:
_______________
e-mail
address: _____________________________________________
College,
University, or other affiliation: ________________________
Type
of membership (please check one):
( ) One-year membership, U.S. and Canada, $65 ($60 electronically)
( ) One-year membership, not U.S. or Canada, $70 ($65 electronically)
( ) Three-year membership, U.S. and Canada, $165 ($150 electronically)
( ) Lifetime membership (10 times the 1-year dues
above)
( ) Graduate student, $25.00 (please provide proof
of status)
( ) Retired member, $35 ($30 electronically)
( ) Family, $75.00 ($70 electronically; either way only one copy of the Journal will
be sent)
Payment:
( ) My check (made payable to the EEA) is enclosed.
( ) Please charge my Visa, MasterCard or American Express
(please, no Discover cards) shown below:
Number:
__________________________________________________
Expiration
Date: _______ Signature: _________________________
Please
complete and return with payment to:
Dr.
Mary Lesser
Iona
College
715
North Avenue
New
Rochelle, New York 10801-1890 U.S.A.
or
by fax to:
(914)
633-2549
|