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SAIR Membership Application -
October 2007 to October 2008
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:
DONALD BOECKMAN
Southeastern Louisiana University
SLU 11851
Hammond LA 70402-0001
Ph: (985) 549-2077
Fax:
(985) 549-3640
email address:
dboeckman@selu.edu |