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AFHVS MEMBERSHIP ENROLLMENT FORM
2012
NAME________________________________________________________________________
ADDRESS_____________________________________________________________________
_____________________________________________________________________________
CITY, STATE, POSTAL CODE, COUNTRY____________________________________________
_____________________________________________________________________________
PHONE___________________________________ fax: ________________________________
E-MAIL ADDRESS_______________________________________________________________
FACULTY SIGNATURE (REQUIRED FOR STUDENT MEMBERSHIP)
_____________________________________________________________________________
Annual Membership Rates:
Regular $80 (with subscription to Agriculture and Human Values, Vol. 29)
Student $60
Regular $120 (with subscription to both journals)
Student $100
Regular $75 (with subscription only to the Journal of Agricultural and Environmental Ethics, Vol. 25)
Student $60
Membership without subscription
Regular $35
Student $30
Make check payable in US funds to
Agriculture and Human Values, Inc.
Mail to:
Richard P. Haynes
6802 SW 13th St.9
Gainesville, FL 32608
USA |
OR |
Charge to my American Express Card ____ VISA ____ Mastercard ____ Discover ____ (Credit Cards taken only December through May.)
Card # _________________________________
Name on Card ___________________________
Expiration Security date _________________code ____________ |
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