ARCE Northern California
Membership Application

Type of Membership

_____  Student (U.S. only)                     $25.00

_____  Student (Canada & Foreign)     $35.00

_____  Regular (U.S. Only)                   $55.00

_____  Regular (non-U.S.)                     $65.00

_____  Dual/Family (U.S. only)             $80.00

 

I wish to make a donation in the following category

(Does not include membership in ARCE)

_____  Lotus Club     $100.00

_____  Supporting     $250.00

_____  Sustaining      $500.00

_____  Patron          $1000.00

_____  Benefactor   $2500.00

_____  Corporate    $3000.00

_____  Lord Carnarvon (ARCE/NC only) Please specify contribution amount.

_____  Marie Buttery Memorial Prize (ARCE/NC only) Please specify contribution amount.

_____  Additional Contribution (Please specify contribution amount.)

 

Memberships Run From September to August

Personal Information

Name _______________________________________________

Street Address ________________________________________

Apartment/Office # _____________________________________

City/State/Zip Code ____________________________________

Telephone ____________________________________________

Business Address ______________________________________

City/State/Zip Code ____________________________________

Business Phone # ______________________________________

Preferred Mailing Address   _____Home   _____Business

Special Interests  ____________________________________

___________________________________________________

 

Print out and mail along with your check to:

American Research Center in Egypt

Northern California Chapter

Membership Director

P.O. Box 11352

Berkeley, CA 94712-2352