Michigan Archaeological Society
2017 Application for Membership

 
 
Enter your e-mail address: ____________________________________
 
First ____________________ MI ______ Last _____________________
 
Street ________________________________________________________
 
City _________________________ State _____ Zip ________-_______
 
Country _____________ Phone + Area Code (_____) ______-________
 
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)
 
 
Your dues will be applied to the current calendar year (2017) unless you indicate otherwise: _____ 
 
The membership year runs from January 1- December 31.
 
 What chapter would you prefer? 
 ___ Coffinberry
 ___ Huron Valley
 ___ River Raisin
 ___ Saginaw Valley
 ___ Thunder Bay
 ___ Upper Grand Valley
 
 
$______ Please indicate if you would like to make a tax deductible contribution. (Federal Tax Exempt Status: FIN#38-6093410 ~ 501(3))
                            General Fund ____ Please indicate with an (X)
                            Chapter ________________________ (name)
  
Please enter any comments below:
 ______________________________________________________________
 
 ______________________________________________________________
 
                            Submit your completed application by Email to: mastreasurer1@hotmail.com + Payment by PayPal
 

Membership Renewal

 OR
 
                            Submit your completed application + Payment by Check - Money Order to:  
 The Michigan Archaeological Society
 P.O. Box 359
 Saginaw, Michigan 48606 

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