Michigan Archaeological Society
2018

Current Member Dues Payment

 
Your E-mail Address  ___________________________________________________________
 
First Name _______________________MI ______ Last ________________________________
 
Street*** ________________________________________________________________________
 
City ***___________________________________________ State*** _____ Zip*** _________-_______
 
Country ***________________________  Area Code + Phone*** (______) _______-___________
 
(***Please fill in for changes. Can be left blank if your information on file is still correct. ) 
 
Membership type:
 
 ___ $25.00 - Individual/Family Membership
       (includes The Michigan Archaeologist and chapter membership)
 ___ $30.00 - Foreign Membership
 (includes The Michigan Archaeologist and chapter membership)
 ___ $40.00 - Institutional Membership 
 (includes The Michigan Archaeologist only)
 ___ $45.00 - Foreign Institutional
       (includes The Michigan Archaeologist only)
 
Dues will be applied to the 2018 membership year unless you indicate otherwise: ______ 
 
What is your chapter? 
 
 ___ Coffinberry
 ___ Huron Valley
 ___ River Raisin
 ___ Saginaw Valley
­­­­  ___ Thunder Bay
 ___ Upper Grand Valley
  ___ No Chapter Affiliation (None Located Near Me)
 

Would you like to also make a tax deductible contribution?

(Federal Tax Exempt Status: FIN#38-6093410 - 501c(3))

· $__________ General Fund 
· $__________ Michigan Archaeologist Publication Costs
· $__________ __________________________ Chapter (Please Indicate Name)
 
· Mail your completed application + Payment by Check or Money Order to:
 
 The Michigan Archaeological Society
 P.O. Box 359
 Saginaw, Michigan 48606 
 
 
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