To use this form, please print it, complete it, and send it to the address given below

1999 Dues

Constituent Member dues $28 $ _____

Student Member dues $14 _____

Low-income (under $10,000) Constituent Member dues $14 _____

Dues delinquency (after 1 March 1999) $5 _____

Please consider support of the following ASR initiatives:

McNamara Student Paper Award $ _____

Paul Hanly Furfey Lectureship _____

Joseph H. Fichter Research Awards _____

TOTAL ENCLOSED* _____

*Fees paid by check must be in U.S. funds drawn on U.S. banks or by international money order in U.S. funds, payable to the Association for the Sociology of Religion

*Fees may be paid by MasterCard or Visa and may be faxed to 727-844-7332. (If you fax, make sure you fax both sides of the form!)

If you wish to pay by credit card, supply all the following information:

Credit card number: __________________________________________

Expiration date: __________________________________________

Print name as it appears on the card: ____________________________________

Card owner's signature: __________________________________________

YOUR name, address, phone number, and e-mail address:

___________________________________________________________________________________________

___________________________________________________________________________________________

MAIL COMPLETED FORM AND PAYMENT TO:

ASR Executive Office

3520 Wiltshire Drive

Holiday, FL 34691-1239

USA