Classification Society of North America / Membership Form

Benefits of membership include: 

· A subscription to the Journal of Classification

· Discount registration fees at the annual CSNA meeting

· The Classification Literature Automated Search Service (SERVICE) on CD

· Newsletters of CSNA and IFCS by e-mail

We look forward to your continued membership and participation in CSNA.
------ Please print this page and fill out the information below ------

DUES (circle the amount being paid):                        2006 & beyond
                                            2004   2005    (per year)
Regular member (receive all publications)    $80    $80    $80
Retired regular member (receive all pubs)    $60    $60    $60
Student member (receive all pubs)            $20    ---    ---
For members of the IFCS member societies:
  Affiliate member (receive J. Class. only)  $60    $60    $60
 
Renewal (have been a member before) _____NewMember application _____

(Please PRINT, at most 30 characters per line.)

Name__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Address line 1 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Address line 2 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

City ___________________________ State/Province _______ Postal Code: _______________

Country _________________

If change of address, check here: _____

E-mail address(es): _________________________________If change, check here: ______

If a directory is published, do you want to be listed ?Yes_____No _____

Total amount of dues enclosed: _________ For year(s): ________

I am enclosing a check (in U.S. currency only, drawn on a U.S. bank), payable to the Classification Society of North America: _____

I am paying with a charge card: VISA: _____ MasterCard: _____

For charge card payments only:

Card Number: ___ ___ ___ ___  - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___

Expiration Date (mm/yy): ___ ___ / ___ ___

Authorization Signature: _______________________________

Please send by regular mail to:

CSNA Business Office
Prof. Stanley L. Sclove
IDS Dept. (MC 294)
University of Illinois at Chicago
601 South Morgan St.
Chicago, IL 60607-7124, USA
Email: slsclove@uic.edu
Fax:   312-413-0385
Voice: 312-996-2681
Sec'y:  312-996-2676
Note: Due to the lack of security, we do not recommend sending credit card numbers via email. Please print and mail with check (in U.S. currency only, drawn on U.S. bank), or send via fax. However, for your convenience, email sent at your own risk will be accepted. 

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