2013 Student 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_______
Degree to be completed by (anticipated date):________________________________
USAIN ListservI 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.
|_____ AgNIC||_____ Animal Health Information|
|_____ Collection Management||_____ International Agriculture|
|_____ Social Issues / Rural Information||_____ Technology Trends|
Annual Student Membership Dues
- Student membership fee—$15.00/year.
- Student status is available while you are enrolled in a degree program;
- Student member status is available for a maximum of 5 years to accommodate those seeking degrees through Distance Education;
- Student members may elect to switch to the "individual" member category at anytime.
_____Check Enclosed (Make payable to: USAIN)
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): _______________________________________________
Chris Long & Associates
P.O. Box 117
West Milton, OH 45383