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Society for Affective Science Membership Application

Fill out the form below to join SAS. Membership is through December 31, 2018. Faculty Membership is $75.00 and Student Membership is $40.00.

Basic Information

Please enter the following information. Fields with an asterisk are required.

First Name*
First Name is required.
Middle Initial
Last Name*
Last Name is required.
Suffix
Affiliation/Institution*
Affiliation is required.
Address*
Address is required.
Address
City*
City is required.
State/Province (US and Canada)
Province (other than US and Canada)
Zipcode (US Only)
Postal Code (Other than US)
Country*
Please select a Country.
Address Type*
Work    Home Please select an Address Type.
Daytime Telephone*
Daytime Phone Number is required.
Fax
Email Address*
A valid email address is required.A valid email address is required.

Research

What are your area(s) of research?

Membership Level

Choose your Membership Level
Please select a valid item.Please select an item.
*Students include undergraduate students, graduate students, bachelor's level research staff, and postdocs.

Credit Card Information

Visa, MasterCard, American Express

Credit Card Type*
Please select a valid item.Please select an item.
Name On Card*
A value is required.
Card Number*
A value is required.Invalid format.
Expiration Date*
Please select a valid item.Please select an item. / Please select a valid item.Please select an item.
CVV*
A value is required.What's This?
 

Please Submit only once!
Multiple submissions may lead to multiple charges on your credit card.