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2017 Individual Membership Form

Please note that, for all USAIN members, the membership year is from January 1 to December 31. Membership dues are not pro-rated.


First-time member_______             Renewing member_______








Academic Rank: _________________________________________________


Mailing address:___________________________________________________






Phone:________________________ Fax:______________________________




USAIN Listserv

I am already subscribed to USAIN-L _____ 

Yes, please add me to USAIN-L at the email address listed above _____
No thank you. I do not wish to subscribe at this time _____

USAIN Interest Groups

Check any you would like to join. There is no additional charge for Interest Groups.


_____ Agricultural Economics Research, Information, and Education (AERIE) _____ AgNIC
_____ Animal Health Information _____ Collection Management
_____ International Agriculture _____ Social Issues/Rural Information
_____ Technology Trends


Annual Membership Dues

$35.00_____ Individual



Payment Information

_____Check Enclosed (Make payable to USAIN)


_____Institutional Purchase Order __________________________________


Credit Card No. (Visa or Mastercard) _______________________________ Exp. Date_____


Security Code on back of card ____


Cardholder's Name:______________________________________________________ (as it appears on the card)


Billing address (on the account): _______________________________________________







Mail to:

USAIN Membership

Chris Long & Associates

P.O. Box 117

West Milton, OH 45383

voice: 937-698-4188

fax: 937-698-6153