Science Fiction Research Association Application/Renewal FormPlease consult the table of fees and subscription costs (below) to determine your payment amount. Make your check or money order payable to SFRA. All payments must be in U.S. dollars. Payment may be made to the "Science Fiction Research Association" via Paypal ( www.paypal.com). Mail a completed form to
Donald M. Hassler SFRA is a tax-exempt organization under section 501 (c) (7) of the Internal Revenue Code. International members opting to pay their membership fees via PayPal should complete the online form and mail a completed copy of this form to the address above. Application Form The following information will appear in the SFRA Annual Directory unless you specifically request otherwise. We must reproduce your name and address-please include a street address to conform to U.S. postal regulations. Changes in Personal Information may be sent to Donald M. Hassler at the address above. Name: ______________________________________________________ Mailing Address: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Home phone: __________________________________________ Work phone number: ___________________________________________ E-mail address: _______________________________________________ Fax: ________________________________________________________ My principal interests in SF/Fantasy are: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Calendar Year ________ Member Type: __________________________________________ Fees and subscriptions
Please consult the details below to complete this section.
Additional information The following information will NOT appear in the SFRA's Annual Directory. Occupation: ____________________________________________________ Academic discipline (if applicable): __________________________________ Institutional/business affiliation: ____________________________________ Current work in progress: _________________________________________ _______________________________________________________________ Permission to include this information in the SFRAReview? Yes ____ No ____ Name and address of individuals you recommend for SFRA membership, with your name as referral: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Fee Schedule The Science Fiction Research Association is a tax-exempt organization under section 501(c)(3) of the Internal Revenue Code. Dues and contributions may be tax-exempt for American members. You do not need to include this page with your application. Please note that all fees are posted in American dollars.
1 all standard benefits Optional subscription or postage costsMembers may opt to pay for the following options in addition to their membership fee. Please note that all costs appear in American dollars.
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