Michigan
Archaeological Society
Application for Membership
Your E-mail Address ___________________________________________________________ First Name _______________________MI ______ Last ________________________________ Street ________________________________________________________________________ City ___________________________________________ State _____ Zip _________-_______ Country ________________________ Area Code + Phone (______) _______-___________ 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) Calendar year of membership you are paying for: _______ (Membership Year is January 1 through December 31)
Chapter you prefer:
___ Coffinberry ___ Huron Valley ___ River Raisin ___ Saginaw Valley ___ Thunder Bay ___ Upper Grand Valley ___ Detroit ___ Northwest Michigan ___ None 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