APPLICATION FOR MEMBERSHIP

 

By completing and submitting this form you are subscribing to the Purpose and Basis of IAPCHE, and agreeing to support this unique ministry of networking Christian higher education around the world.

 

This form may be used to enroll as an individual or affiliate member. If you are interested in institutional, associate, or consulting membership, please e-mail iapche@dordt.edu.

 

To enroll as a student member, click here.

 

If you wish to renew individual/affiliate membership, click here.

 

Mark the type of membership for which you are applying:

Individual Member

Affiliate Member

 

Complete the form below. Note * indicates required fields.

* Title: (Mr./Mrs./Dr./Prof./Rev./etc.) 

* Position:

* Postal Address:

Home Phone:

Website:                                                                 

* Name:

* Institution/Organization:

 

 * Office Phone:

FAX Phone:

* E-mail address(es):

* Discipline/Research Area:

Dissertation and/or other publications:

 

Members receive a free subscription to Contact, IAPCHE's newsletter. Indicate how you prefer to receive Contact:

E-MAIL--An e-mail message is sent when a new issue is posted. You may choose to read online or download the PDF version (included in annual dues)

PRINT--A printed copy is sent by postal mail ($30U.S. extra charge per year)

 

Printed copies will arrive 2 weeks to 2 months later than the website and e‑mail versions.

 

New members will also receive a free copy of one conference proceedings.

* Which proceedings would you like to receive?

 

Mark all that apply:

Please send information about IAPCHE to others who would be interested.

        You may may not use my name as a reference.

        Names, addresses (e-mail preferred):

      1. 

      2.  

      3. 

      4.  

I would like to submit relevant information for possible publication in Contact.

I am willing to have my name given to fellow scholars for the purpose of sharing ideas.

 

Dues

          Individual members: $25U.S. per year.

          Affiliate members: $50U.S. per year.  

          Donations are also welcome.

Methods of payment: credit card, check in U.S. dollars, bank transfer.

In case of financial hardship, you may also request that your annual dues be waived.

Additional Comments and/or Questions.

 


 

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