|
Time to Pay Your AMLI Dues |
|
Membership Categories and Fees |
| Regular |
$85/year |
| Fellow |
$120/year |
Student*
(Requires certification letter from mentor) |
$25/year |
| Corporate |
$750/year |
|
International Members Add $10/Year
for Postage
|
|
REMITTANCE - AMLI MEMBERSHIP DUES |
|
Enclosed is my check payable to AMLI in the amount of |
$ |
Please charge my VISA/MasterCard
|
$ |
Name
as it appears on credit card.
(Please print) |
|
|
Credit Card
# |
|
|
Exp.
Date |
_____/______ |
| Signature
(CC payment only) |
|
|
Return
this form with your payment to:
Maggie Fogel
34 West 83rd Street
Suite R
New York, NY 10024
Fax: 212-873-2344
Please make any corrections to your address in the spaces below:
|
| Name |
|
| Degree |
|
| Institution/Company |
|
| Address |
|
| City, State,
Zip |
|
| Phone |
|
| Fax |
|
| E-Mail |
|
