PNWPSA: Information about Membership

You may print this page, then send to the attention of:

Nancy Curran, Program Coordinator
Lewis & Clark College
Portland, OR 97219
phone #: 503-768-7640
fax#:    503-768-7637

Please make checks payable to PNWPSA.

Full Professor $60
Associate Professor $55
Assistant/Adjunct $50
Graduate Student $35
Other

Note: You may deduct $10 if retired. Canadians please pay in American dollars.If you wish to register at the door, please add $10.  If you are a panelist you must pre-register and pay your fees to be listed in the program.

Please include the following information with your check:

Name	___________________________________________________________
Affiliation	___________________________________________________________
Rank	___________________________________________________________
Discipline	___________________________________________________________
Phone	___________________________________________________________
Email Address	___________________________________________________________
Mailing Address	___________________________________________________________
Comments	___________________________________________________________

Membership will begin the date your check is received.