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ARTS
COUNCIL OF THE AFRICAN STUDIES ASSOCIATION
MEMBERSHIP
FORM
Please Note: Membership runs January 1 - December 31
Date: _______________________________
MEMBERSHIP:
• ACASA
MEMBERS LIVING IN AFRICA and the CARIBBEAN are not required to
pay membership dues but MUST send completed membership forms
to the membership coordinator (name and address below).
• All
Other ACASA MEMBERS:
|
|
 |
|
| Special
Member (student, unemployed, retired) |
$20.00 |
| Regular
member |
$50.00 |
Institutional
member
|
$75.00
|
| Additional
Voluntary Contribution: |
|
| Sieber
Memorial Fund (Dissertation award presented at the Triennial Symposium) |
$_______ |
| ACASA
Endowment |
$_______ |
| Symposium
Fund (Travel assistance for African scholars & graduate student) |
$_______ |
|
Triennial
Fund
|
$_______ |
| |
|
| TOTAL |
$_______ |
|
|
| PAYMENT |
| Check
or International Money Order (check must be in US
Dollars & Drawn on a US Bank) payable to ACASA |
|
|
| Credit
Card |
__
Visa |
acct.
# _______-_______-_______-_______ exp. date: ___/___(mo/yr) |
|
__
MC |
signature:
___________________________________________ |
|
|
| |
|
| ADDRESS
and PHONE NUMBERS for DIRECTORY & receipt of NEWSLETTER |
| Name: ________________________________________________________________ |
| Affiliation:
_____________________________________________________________ |
| Department:
____________________________________________________________ |
| Address: ______________________________________________________________ |
| City: ____________________ State:
_______ Zip: _________ Country: ___________ |
| Home Phone:
_______________________ Work Phone: _______________________ |
| Fax: ______________________________ email:
_____________________________ |
| Website: ______________________________________________________________ |
|
|
| ADDITIONAL
INFORMATION (please circle all that apply, or add new option) |
Education
(highest degree): BA MA MFA PhD Other:
__________
|
Specialization: Anthropology Art
History Ethnomusicology Other:
_______________
|
Primary Profession: University
Teaching Other Teaching Museology Research
Student
Other:
___________________________________________________
|
Primary Regional
Focus: Central Africa Eastern Africa Northern
Africa Southern Africa
Western
Africa Diaspora Other:
________________________
|
Ethnic or
Country Focus: _____________________________________________________
|
Topics of
Interest (e.g.: gender studies, performance, textiles, divination
. . .): ______________
_____________________________________________________________________________
|
| Current Memberships: ASA CAA AAA Other:
____________________________ |
|
|
| |
|
Please
return form with payment to:
|
Alice Burmeister
ACASA Secretary / Treasurer
Dept. of Art & Design
140 McLaurin Hall
Winthrop University
Rock Hill, SC 29733 USA
|
to
subscribe to the H-AfrArts discussion list click
here
Return to
H-AfrArts Information Page
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