American Portuguese Studies Association

Department of Foreign Languages and Literatures

Iowa State University

P.O. Box 1158

Ames, IA 50014

 

MEMBERSHIP FORM

 

 

Name: ______________________________________________________________________________

 

Title: _____________________________________________________________________________

 

 

Department: _________________________________________________________________________

 

Institution: __________________________________________________________________________

 

 

Preferred mailing address: ______________________________________________________________

 

____________________________________________________________________________________

 

 

Phone: _______________________________ (office); ________________________________ (home)

 

E-mail: _____________________________________   Fax: ___________________________________

 

 

Membership dues:         ___ $35 (faculty)

 

                                    ___ $60 (faculty; two-year option)

                                   

                                    ___ $10 (student)

 

Please mail your check (in US funds only) or an international money order payable to APSA in the amount of your membership dues to:

 

Kimberly DaCosta Holton, APSA Treasurer

Dept. of Classical and Modern Languages and Literatures

175 University Ave.

Rutgers University-Newark

Newark, NJ 07102-1801


 

For more information on payment options contact the Treasurer at kholton@andromeda.rutgers.edu

 Direct all additional inquiries to Margo Milleret, APSA Secretary, Department of Spanish and Portuguese, University of New Mexico,  MSC03-2100, Albuquerque, New Mexico 87131-0001. E-mail mmapsa@unm.edu