Membership Form

Please print this out, fill it out, and mail it in. 

May 2014 – May 2015
 New Membership 
 Membership Renewal 
 Student Membership 
 Retired and independent scholar membership
 Charter Membership
 Donation

Name: ___________________________________________________________
last                        first                    middle

Institutional Affiliation: ______________________________________________

Department: ______________________________________________________

Institutional Address: _______________________________________________ 

City: ______________________ State: ____________________

Zip: _____________ Country___________________

Telephone (work): ___________________ (home): _____________________

E-mail Address: _______________________________

Fax number: _____________________________

Areas of interest related to AALCS:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Annual Membership:
Regular $30.00; Graduate Students: $15.00; Retired and independent scholars, $15, charter membership $250.00.

Please write your check or money order to: 
African American Literature and Culture Society
and send to the Secretary/Treasurer:

Keith Byerman
Professor of English and Women's Studies
Indiana State University
Terre Haute, IN 47809