2002 NCSA Membership Form

The North Carolina sociological Association is open to any person engaged in teaching or research in sociology, on in a field of applied sociology, as well as to any student whose major interest is sociology. Members receive SOCIATION TODAY, the Bulletin of the NCSA, three times per year and are invited to attend the annual meeting of the association in the spring. Dues are for one calendar year.

Please take a moment to update your information. Be sure to include you most current information.

Name:______________________________________________________________

Institutional Affiliation:_________________________________________

Institutional Address:_____________________________________________

Office Telephone (including area code:_____________________________

Office FAX: _______________________________________________________

Office e-mail address: ____________________________________________

Permanent Home Address:____________________________________________

___________________________________________________________________

Home phone: _______________________________________________________

Home FAX: _________________________________________________________

Home e-mail address: ______________________________________________

I prefer to have SOCIATION mailed to me

_____at my office/business/school address

_____at my permanent home address

Annual membership dues:

_____professional (dues $11 per year)

Voluntary Contribution to the Himes Award Fund:

_____$4.00 suggested donation

Total amount enclosed: __________

Please enclose a check for your 2001 dues in the annual meeting in the amount indicated above. Make all checks payable to the North Carolina Sociological Association.

Mail this form and your check to:
Dr. Sue Pauley, NCSA Secretary/Treasurer
Wingate University, P.O. Box 1015
Wingate, NC 28174

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