Membership Form

To join the Edith Wharton Society or to renew your membership, please print and fill out the form below and mail it with your membership check (payable to the Edith Wharton Society) to

Gary Totten
English, NDSU Dept #2320
P.O. Box 6050
Fargo, ND 58108-6050

gary.totten@ndsu.edu

All amounts are in U.S. dollars; please submit your payment in U. S. funds.  Thank you.
 
Membership Category

_____Student ($15.00)

_____Individual ($20.00)

_____International ($25.00)

 Additional Contributions

_____Donor ($50.00)

_____Contributor ($100.00)

_____Sponsor ($150.00+)

This is a   ____New Membership      _____Membership Renewal

Name:                 ___________________________________________

Address:             ___________________________________________

                             ___________________________________________

                             ___________________________________________

Institution:            ___________________________________________

E-mail address:  ___________________________________________