|
The Academy of Spirituality and Paranormal Studies, Inc
MEMBERSHIP APPLICATION
Date_____
Please enroll me as a member of Academy of Spirituality and Paranormal
Studies. Inc. in the membership category marked below. Enclosed are my
annual membership dues in the amount of $________
for the year beginning_____200_____
__Patron: $100.00 and over
__Academic: $50.00
__Supporting:$40.00 (If outside the United States, add $15 per year for postage. $8 extra per year if in Canada)
In addition to my annual dues, I'm enclosing a DONATION of $_____
to support the ongoing work and programs of the Academy.
(Contributions to Academy of Spirituality and Paranormal Studies,
Inc., are deductible for income tax purposes under an Internal
Revenue Service Section 501 (c) (3) ruling)
Name____________________________________
Address__________________________________
City_______________
State______
ZIP________ Telephone ( )___________________
E-mail Address My present position, qualifications, and terminal degrees are as follows: (For completion by those applying for Academic Membership. Please attach biographical sheets, outlines of work accomplished, etc., if available.) Please consider submitting appropriate articles, papers, research proposals or abstracts for possible publication in The Journal of Spirituality and Paranormal Studies. Please print, complete and mail this form with your check or money order made payable in U.S.A. funds to Academy of Spirituality and Paranormal Studies, Inc and send to:
ACADEMY OF SPIRITUALITY AND PARANORMAL STUDIES P.O. BOX 614, BLOOMFIELD, CT 06002-061 (860)242-4593 bateyb@infionline.net |