Membership Form (Updated 2010 version)

Italian Art Society Membership Form 2010
Due 25 March 2010 for the 2010 calendar year.

Name:

Membership type (please select):
___2010 Standard Membership–$20 per year
___2010 Student Membership–$10 per year
Mode of payment (please select):
___Online via PayPal
___By check

Title (e.g. Assistant Professor, Independent Scholar, Ph.D. Candidate):

Institutional Affiliation (e.g. University of Illinois, Krannert Art Museum):

Preferred Mailing Address:

Preferred Telephone:
E-Mail:
Website:
Research interests (e.g. quattrocento painting, 20th-century urbanism, papal patronage):

Please return by e-mail or by mail to Italian Art Society, c/o
Catherine McCurrach, 2633 Heather Way, Ann Arbor , MI 48104.