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To become a member, please print out the following application, fill in the
relevant information (as you would like it to appear in the directory), and
mail it to the address below. Membership questions can be sent to Rose Diaz. To pay by credit card, please go to Acteva and apply for membership.
Name__________________________________________________
Address_________________________________________________
City_____________________________State______
Zip_____________
Home Phone (___)___-________
Work Phone (___)___-________
Fax (___)___-________________
E-Mail Address____________________@________________________
Institutional
Affiliation_____________________________________
Membership Level (check one):
__ Individual $25
__ Student $15
__ Institution $100 (Allows up to 4 registrations at the Member rate for the Annual Meeting) __ Sponsor/Donation: I would like to support the work and programs of theSouthwest Oral History Association with the following donation: $________
__ Lifetime $250
*SOHA is a 501 (c) (3) non profit organization and donations are very much appreciated. Such donations are tax deductible in accordance with IRS Tax Code Section 170(c).
Please MAKE ALL CHECKS PAYABLE to SOHA.
Mail to : Rose Diaz
3408 D Indian School NE
Albuquerque, NM 87106
Questions: rosediaz013@gmail.com
Visit our website for more information or e-registration: www.southwestoralhistory.org
__________________________
Please circle committees in which
you might be interested:
Newsletter Membership Annual Meeting Grants/Scholarships
Thank you for your interest in
SOHA!
