Membership

Name

First

Last

Affiliation

Email

Phone (optional)

Mailing Address

City

State/Province

Postal Code

Country

Available Items

Annual Dues–income under US$50,000 – $10.00
Triennial Dues (conference to conference)–income under US$50,000 – $30.00
Annual Dues–income US$50,000+ – $25.00
Triennial Dues (conference to conference)–income US$50,000+ – $75.00
Annual Dues–Contributing Member – $50.00
Triennial Dues (conference to conference)–Contributing Member – $150.00

payment Name Code

Donation to Joan Jensen-Mary Neth Fund

$10
$25
$50
$100

Helps offset registration fees for invited speakers and international participants.

Memorials

Donations may be made in honor or memory of any individual or group. Please designate the individual(s) being honored here.

Total Amount

$0.00

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Membership and Donation Options:

1-year membership (income under $50,000 USD): $10.00 USD

3-year membership, conference to conference (income under $50,000 USD): $30.00 USD

1-year membership (income above $50,000 USD): $25.00 USD

3-year membership, conference to conference (income above $50,000 USD): $75.00 USD

1-year membership, Contributing Member: $50.00 USD

3-year membership, Contributing Member: $150.00 USD

Make a donation to the Joan Jensen–Mary Neth Fund