University of Calgary

Membership Form

Submitted by Anonymous on Fri, 06/06/2008 - 11:14.

CALGARY SOCIETY FOR MEDITERRANEAN STUDIES
2012 - 2013 MEMBERSHIP FORM


Name:____________________________________________

Address:__________________________________________

Postal Code:_________________Phone:_________________

E-Mail:____________________________________________

Please include email address in order to take advantage of notices and lecture reminders

MEMBERSHIPS (incl. GST)
Membership receipt requested:   Ο  Yes        Ο  No

Ο  Regular Membership:  Single ($30)         Ο  Regular Membership:  Couple ($42.50)
Ο  Regular Membership:  Family ($50)         Ο Student Membership:  ($15.00)

SUPPLEMENTARY DONATION
(tax-credit receipt from the University of Calgary)

Ο  Contributor (up to $29)                         Ο  Donor  ($30 - $99)
Ο  Benefactor ($100 - $249)                     Ο  Patron ($250+)

Amount  of Donation:_________________________

Check Ο if you wish your gift to be anonymous

Mail this form along with your membership fee/donation (cheque payable to the University of Calgary) to: 

Calgary Society for Mediterranean Studies
Department of Greek and Roman Studies
University of Calgary
2500 University Dr. NW
Calgary, AB  T2N 1N4