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Mail to: 3104 E. Camelback Road, # 814 Phoenix, AZ |
85016-4502 |
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Membership Information: |
Membership Fees: |
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Name: ______________ _____________ |
Individual Membership $ 35.00 |
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Title: ___________________ __________ |
Student Membership ___ $ 17.50
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Organization: ____________ _____ _____ |
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Address: ______________________ _ _ __ |
Areas of Interest:
Programs _____
Membership _____ |
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Diversity _____
Membership _____ |
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City: __________________________ ___ |
Speakers Bureau ____
Public Relations _____ |
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State: ________ Zip: _______ _ |
Youth Conference____
Website _____
Professional Development ____
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Telephone: ___________ ____________ |
Membership Status: |
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Fax: __________________________ ___ |
Membership Renewal (circle): Yes /No
New Membership (circle): Yes/ No
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E-mail: _______________________ ____
Member of ACR? _____ Yes _____ No |
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By becoming a member of AACR, you agree to honor ACR Standards of Practice, available at www.acrnet.org, Arizona Chapter |
Would you like your "Membership Information" posted on AACR’s website?
/ / Yes
/ / No
Yes No |
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Applicant’s Signature |
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Date |