Membership and Renewal Application
Annual dues are $20 per individual and cover the academic year cycle (September through August). Please print this form and include a check (we cannot accept credit card payment at this time) made out to The Ticknor Society and send it to The Ticknor Society, c/o Robin Bledsoe, 1640 Massachusetts Avenue, Cambridge, MA 02138
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New member Renewal | |
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| Preferred
phone:
home
work
cell |
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| Preferred
communication:
print only
email only
both |
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| Email:
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interest(s): |
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| Ticknor Society Home |
Last modified: Monday, 19-Jun-2006 13:25:33 EDT