Several Easy Ways to Apply:

1. Fill out and submit the online application form below if you are paying with a credit card and would prefer the ASPR to process your card. Please call the ASPR to be certain the email was received if choosing this option.
2. If you are paying with a credit card you can print the form below and FAX to: (212) 496-2497.
3. PHONE: (212) 799-5050
4. If you are paying by check or money order print the form below and MAIL to: ASPR, 5 West 73rd Street, New York, NY 10023. Please enclose check or money order with the form.

   Make checks and money orders payable to the ASPR.

Just fill in the Application and click on the "E-Mail Your Application" button.

Name:

Email:

Address:

City/Town:

State/Province:

Zip/Postal Code:

Country:

Phone Number:

In the space below, please indicate the category you are applying for and the cost.
For all foreign postage please add $20 per year, except Canada and Mexico, add $15 per year.

Associate: 1 year ($70) 2 years ($135) 3 years ($200) Associate and Spouse: 1 year ($75) 2 years ($140) 3 years ($205) Fellow: 1 year ($100) 2 years ($190) 3 years ($280)

Libraries: 1 year ($125) Student: $60 Copy of I.D. required by mail or fax. Senior Citizen (over 65): $60 Proof of age required by mail or fax. ASPR Library Access Only: $50

Sponsor: $2,500 Patron: $5,000 Founder: $10,000+ Benefactor: $50,000+

Any additional information:

Use return key for each line. Do not type beyond this point.

Method of Payment: Mastercard AmericanExpress Visa

Card Number:

Expiration Date:

Signature:_________________________________________
If applying via fax or mail.

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