Name:
Ms./Dr./Mrs./Mr. Last    First    Middle
_________________________________________________________________

College/University:_________________________________
       Position:  _____________________________________

College Address:  __________________________________________________
   Street    City   State  Zip

Home Address:  ___________________________________________________

Preferred Mailing Address:   Home     School

Phone: Office   ( _____  ) _________________          Home   ( _____  )

Fax No. (____ )______________    E-Mail:    ____________________________
 

MEMBERSHIP* CLASSIFICATIONS: Circle one below:

ACTIVE   Dues:  $50.00
Professional women employed in higher education concerned with promoting quality programs in human movement and who support the goals of WSPECW

ASSOCIATE   Dues:  $50.00
Former members who have left employment in higher education and continue to support the goals of WSPECW

ALLIED   Dues:  $50.00
Women who have completed advanced degrees and who support the goals of WSPECW

TEMPORARY   Dues:  $10
Graduate students, international visitors and members of other districts who are temporarily residing in the geographical confines of WSPECW

EMERITA   Dues:  None or optional
Members who have retired from institutions of higher education.
New Emerita : date of retirement______________  Institution _______________________________

HONORARY   Dues:  None or optional
Members have retired from institutions of higher education and have been honored by WSPECW for outstanding service

*Membership includes a subscription to Perspectives:  Journal of Western Society for Physical Education of College Women  and two newsletters, which are published in the spring and fall of each year.
 

        Membership Fee Enclosed      $  ________
 
          New_____     Continuing_____
 

 
Mail check made out to "WSPECW" and Application to:

Dr. Martha Yates
4895 Medica Rd.
Santa Rosa, CA 95405
\