SEAC Membership Application

*First Name:
*Last Name:
*Address:
Address 2:
Address 3:
*City:
*State:
*Zip/Postal Code:
*Contact Phone/Ext:	- - Ext.
Fax:	- -
*Email:

Type of membership you are purchasing:
$37.50 Annual Standard Membership
$16.50 Annual Student Membership*
$42.50 Annual Family Membership
$78.50 Annual Institutional Membership
$500.00 Life Membership please submit paper membership form with check for payment to SEAC Treasure

Additional Information:
	This is a new membership.
	Please list my information in the Newsletter membership directory.

If you would prefer to mail your membership payment please click here to download and print a PDF version of the membership application and send it to:
Victor D. Thompson
Department of Anthropology
The Ohio State University
4048 Smith Laboratory, W. 18th Ave.
Columbus, Ohio 43210

E-mail: thompson.2042@osu.edu, victordominic@gmail.com

*Student Memberships must submit a copy of their current student ID via email to Victor Thompson