Please print this form, complete, and mail to address at end.
| Name: | ________________________________________________________________ |
All Memberships include:
Please indicate membership type:
| _______ | One Year Individual or Institutional Membership: $75 |
| _______ | Two Year Individual or Institutional Membership: $135 |
| _______ | Life Membership: $600 |
| _______ | Student Membership (high school, undergraduate, graduate): $20 |
| _______ | Non-Journal Membership: $50 |
| _______ | Additional Postage for members outside the U.S.: $8 in Canada and Mexico; $16 all other countries |
As a service to members and to other forensic organizations, the AFA collects membership dues and forwards those dues to the organizations below. All benefits are provided by the organizations specified.
National Debate Tournament
| _______ | National Debate Tournament, Subscription: Before November 1, $50 Subscription after November 1 and before December 1, $100 Subscription after December 1 and before January 1, $150 Subscription after January 1 and before January 15, $200 (no subscriptions accepted after January 15) |
National Individual Events Tournament
| _______ | National Individual Events Tournament, Subscription before December 1, $30 Subscription after December 1, $50 |
American Debate Association
| _______ | Patron Membership (Regularly Participating Schools): $50 |
| _______ | Affiliate Membership (Non- participating Schools): $20 |
| _______ | Individual Membership: $10 |
Cross Examination Debate Association
| _______ | Associate Membership (Journal, monthly Executive Secretary Reports only, no tournament participation): $30 |
| _______ | Affiliate Membership (Schools not members the previous year; in addition to above includes full voting privileges, eligibility for CEDA awards, able to enter CEDA national tournament): $40 |
| _______ | Institutional Membership (Includes benefits listed above, after first year of membership): $150 |
National Forensic Association
| _______ | Membership, $40 |
National Parliamentary Debate Association
| _______ | Membership, $50 |
Delta Sigma Rho-Tau Kappa Alpha
| _______ | Annual Chapter Dues, $50 |
National Debate Coaches Association
| _______ | Annual Membership (October through September): $25 | Please specify: _____ Individual _____ Institutional
| _______ | Life Membership: $250 |
Information received by September 15th will be included
in Directory and by January 15th in
Directory Addendum.
| Position/Title: | ______________________________________________ |
| Your Institution/School/Business: | ______________________________________________ |
| Institutional Street Address: | ______________________________________________
______________________________________________ ______________________________________________ ______________________________________________ |
| Office Phone (include area code): | _(________)____________________________________ |
| FAX: | _(________)____________________________________ |
| Email Address: | ______________________________________________ |
| Highest Degree, School, and Year: | ______________________________________________ |
| Other forensic organizations to which you belong: |
______________________________________________
______________________________________________ ______________________________________________ ______________________________________________ |
| Home Address: | ______________________________________________
______________________________________________ ______________________________________________ ______________________________________________ |
| Home Phone (include area code): | _(_______)____________________________________ |
For AFA Mailings please use: _____ office or _____ home address.
Total Amount of Memberships and subscriptions (add charges checked above): $ _______________
_____ Payment enclosed; _____ Charge my VISA; _____ Charge my
Mastercard
| Card No. | __________________________________________ |
| Expiration Date: | _______/________ |
Thank you for your membership.
AFA's FEIN is 38-6069238
For questions about membership contact James W. Pratt, Executive
Secretary
Toll-Free: 1-800-228-5424
International Calls: 1.715.425.3198
FAX: 1.715.425.9533
Mail Membership to:
James W. Pratt, Executive Secretary
American Forensic Association
Box 256
River Falls WI 54022
Revised: October 2006