ADSU Membership Application Form

ADSU Membership Application

To apply for membership in the Albrecht Dürer Study Unit, please complete all questions.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
example@example.com
Home Number
Format: (000) 000-0000.
Mobile Number
Format: (000) 000-0000.
Are you a member of the American Topical Association (ATA)
We request your permission to publish contact information in The Dürer Journal. Please indicate your consent to publish your contact information by checking the boxes below.

Please describe your Dürer collecting interests:

If other, please describe:
Have you exhibited Dürer material?
It takes members and volunteers to make a study unit successful. Please consider the needs of Albrecht Dürer Study Unit and indicate areas where you would be willing to volunteer. Some of the positions may be filled, so please indicate all areas where you would be willing to serve.
Other
Membership Type
prevnext( X )
1 Year Membership (Domestic USA )
Dürer Journal mailed and available as PDF

$24.00



1 year Membership (International Addresses)
Dürer Journal mailed and available as PDF

$28.00



1 Year Electronic Membership
Dürer Journal in PDF only - no print edition

$8.00
Should be Empty:

ADSU Membership Application