Michigan Archaeological Society
                                            Application for Membership

 
Enter your e-mail address:  ____________________________________
 
First ____________________ MI ______ Last _____________________
 
___ Check if you would NOT like to have your name published as a member
 
Street ________________________________________________________
 
City _________________________ State _____ Zip ________-_______
 
Country _____________ Phone + Area Code (_____) ______-________
 
 
Membership type:
  ___ $25.00 - Individual/Family Membership
       (includes The Michigan Archaeologist and chapter membership)
  ___ $40.00 - Institutional Membership/$45.00 Foreign Institutional
       (includes The Michigan Archaeologist only)
  ___ $30.00 - Foreign Membership / Subscription
 
 What chapter would you prefer? 
  ___ Clinton Valley
  ___ Coffinberry
  ___ Huron Valley
  ___ River Raisin
  ___ Saginaw Valley
ญญญญ  ___ Thunder Bay
  ___ Upper Grand Valley
  
 
 $____ Please indicate if you would like to make a tax deductible contribution. 
 
 
Please enter any comments below:
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                       This application is from the MAS Website
 
              Submit your completed application with check or money order to:
 
                              The Michigan Archaeological Society
                                            P.O. Box 359
                                       Saginaw, Michigan 48606
 
                 The membership year runs from January 1-December 31.