Membership & Support Support us through this online form or print the application form and pay via check. Membership Last Name * First Name * Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Email * Phone If employed: Position title Organization Yes, I would like to join AJS –Annual Membership @ $50Student Membership @ $25 Yes, renew my membership in AJS: –Annual Membership @ $50Student Membership @ $25 Yes, I would like to donate to AJS: $ Payment Information Cardholder First Name Cardholder Last Name Billing Address * Billing Address Billing Address Billing Address City City State/Province State/Province Zip/Postal Zip/Postal Credit Card If you are human, leave this field blank. Submit
