IAWM Membership Form 2010

Please join us in celebrating and supporting music written, performed, researched and taught by women around the world. Dues are paid annually in January.

This is a (check one):
Renewal - or - New Membership

Membership includes a subscription to the Journal of the IAWM.
Please enter your name, street address, city, state, country, postal code EXACTLY as we should print it on the mailing label for your copy of the Journal of the IAWM.
U.S. Residents: Please include ZIP+4

Name:
Address [Please include street address, city, state/province, country, postal code (if U.S.A. ZIP+4)]:

Other Contact Information:

Phone Number:

Email Address:

Web Site:

Please describe your work in music for the Member Directory:

What do you do?


Where do you work?


What are your specialties?

Please select a membership category:
Individual - $55.00 per year
Institutional - $55.00 per year - Journal only
Student - $30.00 per year
Senior (65 and over) - $30.00 per year
Joint - $80.00 per year
Lifetime - $1000.00 (may be paid in five $200 installments). Please contact the membership chair (membership@iawm.org) before sending any payment towards a Lifetime membership.

NOTE:You may pay with PayPal, however it is discouraged due to the fees incurred. Recipient is iawmdues@unt.edu on the PayPal form. The IAWM adds a fee of US$2 to each PayPal dues payment to recover the fee that PayPal assesses IAWM. You may also pay by personal check, cashier's check, or money order made out to IAWM.

You may print out this form and mail it in, fill it out online and send it by clicking the 'Submit' button, or download a pdf copy of the form here. Please note that your membership will not become active until payment is received via mail or PayPal.

Select your method of payment:

I am paying via PayPal (see instructions above)
Check/Money Order (Send payment to address below.)

Contributions in any amount - in addition to your dues - are always welcome! To contribute via Paypal, please use the account iawmdonors@unt.edu For information about subsidized memberships, contact the Membership Chair at membership@iawm.org

No one is denied IAWM membership for inability to pay.

Please send this form along with your payment to:
Deborah Hayes
IAWM Membership Chair
3290 Darley Ave
Boulder, CO 80305-6412

Or press 'Submit' to email the form instantly to the membership chair (be sure to follow through with your payment!)