Membership Form - Student

Student Members : please use the form below.

Student membership is $15 per calender year. For your membership to be complete, dues must be received in full. Dues may be paid online by clicking here.

Student Membership Form

First Name
Last Name
University
Classification	Freshman Sophomore Junior Senior Graduate Student
Major
Minor
Number of Hours Enrolled
Mailing Address
City
Zip
Daytime Phone
Evening Phone
E-mail Address
Comments/Special Needs
Thank you!