Business History Conference Membership Information Form

Annual dues

$60.00 for regular membership
$75.00 for regular membership, annual income over $75,000
$30.00 for student membership
$40.00 for regular membership, emeritus/a and retired
$125.00 for contributing membership

To join the Business History Conference supply the information requested below. Payment can be made with check in US$ or a credit card (VISA and MC only). Membership includes a subscription to Enterprise & Society: The International Journal of Business History.

Name: _______________________________________________________

Address: _____________________________________________________

_____________________________________________________________

City: __________________________ State (province): _______________

Zip or Postal code: ___________

University or other affiliation: ____________________________________

E-mail address: _______________________________________________

Telephone: _________________________ Fax:_______________________

Areas of Interest: __________________________________________________________

__________________________________________________________________________

Credit Card Information

Name on card (if different from above): ________________________________

Signature: ________________________________________________________

Card type: VISA MC Card Number: _____________________________________

Exp. Date: ___________________________________

Please send this form, together with payment to:
Roger Horowitz, Secretary-Treasurer
Business History Conference
P.O. Box 3630
Wilmington, DE 19807-0630

Fax: 302-655-3188; Email: rh@udel.edu.