Please print this form, fill it out, and mail it to: Friends of The Kinsey Institute, Morrison Hall, Third Floor, Indiana University, Bloomington, IN 47405. You will receive a reply from the Friends by U.S. mail.
Yes, I would like to become a member of the Friends of The Kinsey Institute
and am enclosing my membership dues as indicated below. The membership year
runs from July through June. Please contact me about how I may become actively
involved.
| Check One | Category | Annual Dues* |
|---|---|---|
| ______ | Student | $25.00 |
| ______ | Donor | $50.00 |
| ______ | Contributor | $100.00 |
| ______ | Sponsor | $250.00 |
| ______ | Patron | $500.00 |
| ______ | Benefactor | $1,000.00 |
| Additional donation of $_______ enclosed. | ||
Name:
Address:
Telephone:
Fax:
Email:
Please DO ___ DO NOT ___ include my name in any public list of members.
[Go to Friends of The Kinsey Institute]