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SAIR Membership Application -
October 2011 to October 2012
Name:______________________________________________________
Position:____________________________________________________
Institution:__________________________________________________
Department Name: __________________________________________
Address: ___________________________________________________
City: _______________________________________________________
State: _____________________________ Zip Code: _______________
Telephone: (____)______-_____________ Fax: (____)______-_______
Internet/e-mail Address: _____________________________________
Office Website: _____________________________________________
Membership Type: Regular ($25) __ Student ($10)__
Emeritus ___ (more information) |
Please use or pass on to an interested colleague.
The completed form and check should be mailed to:
Bethany Bodo
Radford University
1508 Trillium Lane North
Blacksburg, VA 24060
Ph: (540) 230-7911
email address:
bbodo@radford.edu |