International Society for Cultural and Activity Research

Membership Registration Form


Title_________________________________________________________

First Name(s)_________________________________________________________

Last Name___________________________________________________________

Department______________________________University__________________________

Mailing Address____________________________________________________________

City (State)________________________________Postal Code___________________

Country______________________________________________________________

E-mail_______________________________________Fax__________________________

Homepage_______________________________________

Payment


          Membership fee  ($25 or $50 USD)          USD____________

Date _______________________________________


Personal check, EURO-cheque, bank draft in your national currency, made payable to: ISCAR
and sent to: ISCAR, c/o Seth Chaiklin, Department of Education, University of Bath, Bath BA2 7AY, United Kingdom

Please see http://www.iscar.org/exchangerates.html for which currencies are accepted and the current exchange rates.

OR

Payment by electronic bank transfer to "Nordea Bank" (remember to include your name!)
reg. number: 2112 account number: 5365891097
IBAN: DK0620005365891097
SWIFT code: NDEADKKK

Send membership form to: ISCAR, c/o Seth Chaiklin, Department of Education, University of Bath, Bath BA2 7AY, United Kingdom

or by fax: +44 1225 38 6113

OR

By credit card. Print out form at http://www.iscar.org/cc.html and send by fax or post to:

Fran Hagstrom
Department of Rehabilitation, Human Resources & Communication Disorders
University of Arkansas
410 Arkansas Avenue
Fayetteville, AR 72701
USA
fax: +1 479 575 4507