GWS Membership / Subscription Renewal Form | The George Wright Society

First name: *

Last name: *

Job title (if applicable):

Organizational affiliation: *

Mailing address: *

City: *

State: *

Zip / Postal code: *

Country (if outside USA):

Is this your work or home address?: *

work

home

Work phone: *

Work fax:

Email: *

I would like to renew as: *

Individual Regular Member — US$55 per calendar year (US$70 per calendar year for addresses outside the USA, Canada & Mexico)

Institutional Member — US$110 per calendar year for USA addresses (US$125 per calendar year for addresses outside the USA, Canada & Mexico)

Supporting Member — US$150 per calendar year for USA addresses (US$165 per calendar year for addresses outside the USA, Canada & Mexico)

Patron — US$1,000 (and up) per calendar year (Indicate exact amount in the “Special Instructions” box on the secure payment form.)

Student Member — US$25 per calendar year for USA addresses (US$40 per calendar year for addresses outside the USA, Canada & Mexico)

Life Member — US$1,000

Sustaining Life Member — Life Membership + US$55 per year thereafter (US$70 per year thereafter for addresses outside the USA, Canada & Mexico)

Choose one of the membership options above. NOTE: The higher price for addresses outside the USA, Canada & Mexico is a postage surcharge to help cover recent increases in the costs of mailing.

I would like to help support the GWS with a donation to:

An unrestricted donation

A donation to the 30th Anniversary Campaign for the GWS Endowment

A donation to the George Melendez Wright Student Travel Scholarship to benefit minority student attendance at the GWS biennial conferences

A donation to the Native Participant Travel Grant Program to benefit the attendance of Native people at the GWS biennial conferences

If you'd like to help forward the GWS's work and the values we share, please check one or more boxes above and enter the amount of your donation in the corresponding box(es) below. Thank you for your additional support of the GWS!

Unrestricted donation: $

GWS 30th Anniversary Fund: $

George Melendez Wright Student Travel Scholarship: $

Native Participant Travel Grant: $

Total amount to be charged to my credit card: * $

Please calculate the total amount (dues/subscription renewal + donations, if any) to be charged to your credit card.

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