2009 M/MLA MEMBERSHIP FORM
IMPORTANT: Thanks for printing clearly and providing all the requested information. If your institution has multiple campuses, please note yours. You will receive an e-mail confirmation.
Name(s) (last, first):
Institution: Rank:
Complete Mailing Address:
E-mail:
Phone (indicate whether home or office):
Do you have a course (note title, URL) for “The Loop,” an M/MLA Journal column that reveals how the scholarship of M/MLA members has helped transform the courses departments require of their majors?
DUES SCHEDULE
Please circle the amount you are paying at this time.
A 2-year subscription will make you a member through 2009.
A 3-year subscription will make you a member through 2010.
Full professor, administrator: 1-year ($40), 2-year ($75), 3-year ($105)
Associate professor: 1-year ($35), 2-year ($65), 3-year ($90)
Assistant professor, school teacher: 1-year ($30), 2-year ($55), 3-year ($75)
Adjunct, part-time: 1-year ($25)
Student, retired, or unemployed: 1-year ($20)
Joint (at same address, one copy of publications): 1-year ($60), 2-year ($110), 3-year ($150)
Supporting: 1-year ($50)
Sustaining: 1-year ($100)
Mail this form, along
with payment (a check or money order in
Office Use Only:
Rec'd _________ Amt $ _________ Check # _________ D'base _________ Rec't _________
Dep _________