The Bibliographical Society of America Membership Application and Renewal Form
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The Bibliographical Society of America Membership Application and Renewal Form Personal Details Membership Level (all fields required except where noted) (please check only one) Name: 35 & Under Membership, $25 Dr. Ms. Mrs. Mr. (circle one) Emerging bibliographers may join at a dis- counted rate. Partner Membership, $80 Dues cover the cost of the journal, our Mailing Address: meetings, and administration. Sustaining Membership, $125 Help sustain our programs for the future and support members entering our field. $ 45 is tax deductible. Leadership Membership, $250 Support expansion of our programs, further Phone Number: online development, and publications. $ 170 is tax deductible. Advancing Membership, $500 Advance our mission and our geographic Email Address: reach. $ 420 is tax deductible. Lifetime Membership, $1250 One-time contribution. Support our fellow- Which of these options best describe you? ship program and help us develop long- (check all that apply) range initiatives to support teaching and scholarship. $1,170 is tax deductible. Academic (Full-time Faculty, Admini- strator) Please note that all members receive: Academic (Part-time Faculty, Contingent, § A subscription to the quarterly Papers of the Biblio- Adjunct) graphical Society of America (PBSA) in print and e-Book Book Arts Worker formats, as well as online access to the full journal run. Book Collector § Discounted access to the ACLS Humanities eBook Collection for individuals. Bookseller § 30% discount on books published or distributed by Conservator the University of Chicago Press, and discounts on the Society’s other publications. Library Professional (Curator, Cataloger, Administrator) Would you like your contact information to be Library Professional (Para- or Pre- included in our membership directories? professional) (check all that apply) Museum Professional Include my name, title, and email address Retired in a membership directory available to the public. Student Include my name, title, and email address Other in a membership directory for members only. Do not include me in any BSA membership Affiliation & Occupation: (optional) directories. Page 1 of 2 (continued on verso) Additional Information Age bracket: (all responses on this page are optional) (please check only one) Under 35 Subject areas of interest: 35–45 (check all that apply) 46–60 Analytical and Critical Bibliography 61–79 Archives 80 and above Authorship, Editing, and Reading Prefer not to say Bookbinding Born-Digital Materials I identify as ... Collecting and Provenance (check all that apply) Descriptive Bibliography Female Hand- and Letterpress Printing Male Library History Non-binary Manuscript Studies, Paleography, Transgender Codicology Prefer not to say Media Studies Printing in the Industrial Era I identify as ... Text and Image, Illustration (check all that apply) Typography and Book or Graphic Design Asian Black/African Chronological areas of interest: European (check all that apply) Hispanic/Latinx Ancient Middle Eastern or North African Medieval Pacific Islander Early Modern White Renaissance Prefer not to say Long Eighteenth Century Nineteenth Century Annual income: Twentieth Century (please check only one) Twenty-first Century Under $40,000 $40,000–$70,000 Geographic areas of interest: $70,001–$100,000 (check all that apply) $100,001–$250,000 Africa $250,001–$500,000 Antarctica & Polar Regions Above $500,000 Australia, New Zealand, Oceania Prefer not to say East and Southeast Asia Latin and South America Please write out your check to the Biblio- Middle East graphical Society of America (US dollars) North America and mail along with completed form to: India and the Subcontinent Erin Schreiner Europe, including Baltic and Slavic 67 West Street, Suite 401, Unit C17 Countries Brooklyn, NY 11222 USA Page 2 of 2 .