IAGLR 2012 Membership Application

Use this form if you are paying with Visa or MasterCard and would like to submit your application securely online. We encourage you to take advantage of this convenient and secure method of payment. If you'd prefer to mail or fax your application, please use our mail/fax form.

Please allow up to five business days for your membership to be processed. An electronic membership card will be sent directly from the IAGLR Business Office indicating your 2012 status has been activated.

Memberships follow the calendar year, January through December. Your application will be applied to 2012. However, electronic access to the JGLR archives in Science Direct will continue until the first publication of the following year (i.e., March 2013).

Contact Information
Name
Business Address
Company/Organization Name
Address
City
State or Province
Postal/Zip Code
Country
Work Phone
Home Phone
Fax
E-mail
(We will send a receipt to this address.)
Mailing Address (if different)
Address 1
Address 2
City
State or Province
Postal/Zip Code
Country
Type of Membership
Electronic*Electronic & Print**
Individual
Regular $130 $165
Student $35 $70
Young Professional $65 $100
Retiree $65 $100
Life n/a $2475 one-time fee
Corporate/Institutional
Sustaining $1500 $1650
Developing Countries***
Regular $5 n/a
Student $3 n/a
*Includes full membership benefits, electronic Journal of Great Lakes Research subscription, and access to the online JGLR archive database.
**Includes full membership benefits, both the printed and electronic JGLR subscription, with access to the online JGLR archive database.
***This category of membership is subject to pre-approval by the association and is available only to individuals who are citizens and currently residing in a "developing country" as determined by World Bank listings.
For more information about electronic subscriptions, please review the Terms and Conditions for individual subscribers and the Site License Agreement (90KB PDF) for sustaining subscribers.
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Background Information
Highest Academic Degree
Year
Institution
Degree Specialty
Current Research Interests
(In order of preference)		1.
2.
3.
Professional Title
Association Contribution *
I'd like my contribution to support the following: Amount
Paul W. Rodgers Scholarship Fund$ 
IAGLR Conference Student Travel Awards$ 
IAGLR Endowment Fund$ 
IAGLR Scholarship Fund$ 
No preference, general contribution$ 

* IAGLR is a U.S. non-profit 501(c)(3) organization. Donations are deductible from U.S. income tax and deductible against U.S. earnings in Canada. IAGLR is also a Canadian non-profit organization with charitable status pending.

Effective January 2009, Library Membership are no longer offered by the association. However JGLR subscriptions are available. Please contact Elsevier for further details.