Membership Form

Print this form and mail to:
Chris Vanden Bossche
INCS
Department of English
University of Notre Dame
Notre Dame, IN 46556


Name ______________________________

Department _________________________

Institution __________________________

City _______________________________

State and Zip ________________________

Country_____________________________

Address for mailings and NCC if different
from above:
_____________________________________

_____________________________________

e-mail ______________________________


Membership fee (includes subscription to NCC):

Check or international money order in U.S. dollars, payable to INCS
[ ] Individuals $30.00
[ ] Student $20.00
[ ] Emeriti $20.00
[ ] Joint (1 copy of NCC) $35.00
(list 2nd member's information on the back of this form)

Year of Membership (calendar year):
(Note: Participants in the annual conference must be members
during the year in which the conference takes place.)