Hello, CLASS-L ListServe,
Below, and attached, is a CSNA Membership Form.
If you've been a member, I'm sure you'll want to continue.
We have a very special Annual Meeting coming up in June,
jointly with the Interface Foundation (interface between computing and statistics)
at Washington University Medical School, St. Louis.
We look forward to your continued membership !!
If you've not been a member, join this unique, interdisciplinary society
devoted to dissemination of the principles and practice of classification.
best . . .
stan
Stan Sclove
CSNA Secretary/Treasurer
=========================================================
Classification Society of North America / Membership Form
Benefits of membership include:
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We look forward to your continued membership and participation in CSNA.
------ Please complete the information below ------
DUES (circle the amount being paid): 2005 2006 2007 & beyond
(per year)
Regular member (receive all publications) $80 $80 $80
Retired regular member (receive all pubs) $60 $60 $60
Student member (receive all pubs)- one yr only $20 xxx xxx
For members of IFCS member societies:
Affiliate member (receive J. Class. only) $60 $60 $60
Renewal (have been a member before) _____ New Member application _____
(Please PRINT, at most 30 characters per line.)
Name
Address line 1 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Address line 2 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
City State/Province Postal Code
Country: _________________ If change of address, check here: _____
E-mail address(es): _______________________________ If change of e-mail address, check here: ______
If a directory is published, would you like to be listed? Yes _____ No _____
Total amount of dues enclosed: $ _________ For year(s): ________
I enclose a check (in U.S. currency only, drawn on U.S. bank), payable to the Classification Society of North America: ___
I am paying with a charge card: VISA: _____ MasterCard: _____
For charge card payments only:
Card Number: ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___
Expiration date (mm/yy) __ __ / __ __ Authorization Signature: _______________________________
Please send by regular mail to:
CSNA Business Office
Prof. Stanley L. Sclove
IDS Dept. (MC 294)
University of Illinois at Chicago
601 South Morgan Street
Chicago, IL 60607-7124, USA
Email: [EMAIL PROTECTED]
Fax: 312-413-0385
Voice: 312-996-2681
Sec'y: 312-996-2676
Note: Due to the lack of security, we do not recommend sending credit card numbers via email.
Please print and mail with check (in U.S. currency only, drawn on U.S. bank), or send via fax.
However, for your convenience, email sent at your own risk will be accepted.
D:\myfiles\CSNA\forms\mmbrshp\allpurpose\2005.txt 2004: Dec 3
2005.doc
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