Association of Pacific Coast Geographers
NEW MEMBER APPLICATION FORM

Name ______________________________________________________________________________

Mailing Address ___________________________________________________________________

City ___________________________ State _____ Zip __________(Country ______________)

Membership Type (fees reflect increase approved at Annual Business Meeting, 9/16/00):

     ___Regular $20/year                                         ___Student $10/year 
     ___Joint (2 people at same address) $23/year                ___Retired $10/year 
     ___Contributing $25/year or more (any contribution over $20 is tax deductible) 

Students: have a faculty member sign to verify your current student status; also please print faculty member's name, position, department, and school.

Check if you are interested in:

     ___The APCG Women's Network 
     ___The APCG Applied Geography Specialty Group 

Optional information (to be included in the next APCG Membership Directory):

work phone _________________________ home phone ___________________________________

fax ________________________________ e-mail _______________________________________

title _____________________________________________________________________________

affiliation _______________________________________________________________________

Unless otherwise requested, checks dated before November 1 will be credited to the current year, while those dated after November 1 will be credited to the next year. Only current year members receive the APCG Yearbook. Please clarify if paying more than one year.


Send check payable to "APCG" (US DOLLARS ONLY) to:

APCG
Department of Geography
CSU, Sacramento
Sacramento, CA 95819-6003

phone: 916-278-6410
e-mail: apcg@csus.edu

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