ACAS Membership Form 2014-2015

Association of Concerned Africa Scholars (ACAS)

Membership Form 2014-2015

(ACAS will not share your personal information with any other organizations or persons)

 

Name__________________________________________________________________________________________

 

Affiliation_____________________________________________________________________________________

 

Address_______________________________________________________________________________________

 

City______________________State_______________________________Zip______________________________

 

Phone #:_____________________________________E-Mail:_________________________________________

 

Africa Activist Scholarly and Country Interests:___________________________________________

 

_________________________________________________________________________________________________

 

May we forward your scholarly and activist interests to the press as a contact?_______

 

Would you like to join an ACAS Task Force?

 

_________Militarization in Africa and AFRICOM

_________Food sovereignty

_________Land grabs

_________Other:___________________________________________________

 

Please identify other ways you might like to be involved in ACAS:

 

_________Write an article in the ACAS Bulletin about__________________

_________Serve on the ACAS Board of Directors

 

ACAS Membership Status:

 

New member:______________                     Renewal:___________________

 

Current ASA Member: Yes:_______       No:_______

 

Membership Fee: $10.00 per year (September-August)

 

Please return with a check payable to:

Association of Concerned Africa Scholars” (not tax deductable)

 

Mail to: Michael Walker, ACAS Treasurer

538 Pacific Street, Apt 5-6

Brooklyn, NY 11217-2280