ARSC Membership Application

Name:_________________________________________________________

Street Address:__________________________________________________

City: _________________________State:________Zip: _________________

Country:_____________Phone.: work_____________home:______________

Email:________________Institutional Affiliation/Position:________________

Membership Category (check one)
	Individual	____ $45
	Student	____ $20
	Institutional	____ $75
	Sustaining	____ $90
	Donor	____ $200
	Patron	____ $500
	Benefactor	____ $1000
			Membership fee $____
Foreign Postage: Members residing outside the United States must include additional postage as follows: Airmail:$______
		Surface Mail: $______
		Voluntary contribution of : $_______
		TOTAL ENCLOSED: $____________

TOTAL ENCLOSED $_____________
Payment must be made in U.S. dollars, by check or International Money Order, payable to ARSC:
	Association for Recorded Sound Collections c/o Nathan Georgitis Knight Library 1299 University of Oregon Eugene, OR 97403-1299