MIDDLE EAST MEDIEVALISTS
Steven C. Judd, Secretary
Department of History
Southern Connecticut State University
501 Crescent St.

New Haven, CT 06515, U.S.A.
Phone: (203) 392-5605
judds1@southernct.edu

Membership Application

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Dues may be paid for one year, two years, or three years at a time, according to the schedule below; MEM encourages you to take out a two- or three-year MEMbership, which will simplify accounting and ensure uninterrupted receipt of Al-‘Usur al-Wusta and other communications from MEM. Make Checks or Money Orders payable to "Middle East Medievalists." Checks in U.S. Dollars must be Payable on a U.S. Bank.  Unfortunately, we are unable to accept Eurocheques in U.S. Dollars. Credit card payments can only be made on-line via PayPal (http://www.paypal.com/).    Users should sign up for a free secure account.  When prompted for a payment e-mail address users should enter memdues@MiddleEastMedievalists.org for the payee address. Any questions concerning PayPal should be addressed to: memdues@MiddleEastMedievalists.org

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Please include your telephone number, e-mail address and Fax number, and return this form with your dues payment to Steven C. Judd, Secretary, Secretary of MEM, Department of History, Southern Connecticut State University, 501 Crescent St., New Haven, CT 06515, U.S.A. Email: judds1@southernct.edu. Phone: (203) 392-5605.

SCHEDULES OF DUES

For addresses in North America (Canada, Mexico, U.S.A.) [check one]:

Membership Duration	US Dollars
One Year [2004]	$15.00
Two Years [2004-2005]	$29.00
Three Years [2004-2006]	$40.00

For addresses outside North America (Latin America, Europe, Asia, Africa, Pacific) [check one]:

Membership Duration	U.S. Dollars
One Year [2004]	$17.50
Two Years [2004-2005]	$34.00
Three Years [2004-2006]	$47.00

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