THE PEACE STUDIES ASSOCIATION

An organization of college and university academic programs for
the study of peace, conflict, justice, and global security.

Program and Individual Membership Form - Fiscal Year 1999-2000

_______________
Date
_________________________________________________________
(Name, Title)

_________________________________________________________
(College/University Affiliation)

_________________________________________________________
Address: (City) (State) (Zip) (Country)

_________________________________________________________
(Work Phone) (Fax Number) (Email Address)

Membership is by fiscal year (July 1-June 30). Make checks payable to: "The Peace Studies Association."


Program Membership

Indicate your Program's Membership Category

_____Small or Emerging Program $75

_____Large or Established Program $150

Individual Membership

Income Level

_____ $50 ($50,000 and up)

_____ $40 ($36-50,000)

_____ $30 ($21-35,000)

_____ $20 ($0 to 20,000)

______________   $ (1999-2000 dues)

______________   $ (additional contribution)

______________   $ TOTAL


Research and Teaching Interests

I would like to serve on the following Committee

___Membership
___Conference
___Project Development
___Finance
___Communications

Mail this application form and your check to the PSA:

The Peace Studies Association
Earlham College, Dr# 105
Richmond, IN 47374-4095