The International Qajar Studies Association (IQSA)
MEMBERSHIP APPLICATION FORM
Please print, complete And send along with your membership fee.
(For membership categories, fees and mailing address see bottom of form.)
Title (Honorific or Academic): ___________________________
First Name: ________________________________
Middle Name: _____________________________
Last Name: ___________________________________
Institutional Affiliation (if any): ________________________
Address: _________________________________________________
City: _________________________________
State (if applicable): ____________________
Zip/Postal Code: ______________________
Country: ___________________
Home Phone: _____________________________
Work Phone: ______________________________
Fax: _______________________________
E-Mail: __________________________________ (very important)
Internet URL (if any): _____________________________
How did you hear about us?: _________________________________
Area(s) of your scholarly interests: _________________________________________________________________
MEMBERSHIP CATEGORY
(Membership is on a yearly basis and renewable)
Mark one please: (Membership Fees as of 2008)
___ Life Membership: US $ 1,500.00
___ Regular Membership: US $ 65.00 (yearly)
___ Supporting Membership: US $ 150.00 (yearly)
___ Friends of IQSA Membership: US $ 650.00 (yearly)
___ Institutional Membership: US $ 200.00 (yearly)
__________
For detailed description of each membership category, click here.
MEMBERSHIP BENEFITS
In addition to receiving the Journal of the International Qajar Studies Association (IQSA) and its Newsletter as part of their membership package, members of the International Qajar Studies Association also benefit from an array of discounts and special admissions to International Qajar Studies Association (IQSA) sponsored events such as its Conferences and Exhibitions, as well as discounts on books, tapes and art work related to the Qajar era for which the Association will have negotiated a special discount for its membership. Details on discounts can be found on the "Announcements" section of the International Qajar Studies Association (IQSA) Table of Contents.
METHOD OF PAYMENT
(Please choose ONE of the following categories and include this application form with your payment. If you choose electronic transfer of fees, please send application by separate cover to us at the address below.)
If not paying by credit card, please
print this form, complete it, and mail it with your payment to
The
International Qajar Studies Association (IQSA)
P.O.
Box 31107
Santa Barbara, CA 93130, USA
____________________________________________________
For further questions regarding the Association, please contact:
Dr. Manoutchehr M. Eskandari-Qajar
President, International Qajar Studies Association (IQSA) at:
Or look at the pages of the International Qajar Studies Association (IQSA) by clicking HERE.