THE ACADEMY OF ACCOUNTING HISTORIANS
APPLICATION FOR 2014 MEMBERSHIP
Individual Membership: $70.00
Institutional Membership: $ 100.00
Retired Individual Membership: $30.00
Student Membership: $ 10.00
Name: (please print)
Mailing Address:___
City:________________________ Sta te :___
Zip Code:____________________Country:
Accounting History Area of In te re st:____
Phone:______________________ Fax:
E-mail:
Method of Payment: D check enclosed
□ Mastercard □ VISA
Card Number:__________________
Expiration Date:
Signature:_____
Mail to: Ms. Tiffany Welch
Case Western Reserve University
Weatherhead School of Management
10900 Euclid Avenue
Cleveland, OH 44106
USA