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.
Please make check payable to: Friends of The Kinsey Institute/IU Foundation.
*A small portion of your dues will be used for program-associated costs.

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]