AJS Women's Caucus Membership Form

Print and mail with your check to:
Katja Vehlow
310 West 99th Street Apt 803
New York, New York 10025

Please make checks payable to: AJS Women's Caucus

Name ____________________________________________________________
If you are a new member or wish to change any information, please complete the following:



City State/Province Zip/Postal Code______________________________________

Country __________________________________________________________

Professional Affiliation ________________________________________________

Telephone _________________________E-mail___________________________

Research interests ___________________________________________________

$______ Dues (check one): Student ($10.00) $______ Faculty ($20.00)

$______ Additional voluntary contribution to the Women's Caucus


Women's Caucus Breakfast
Monday, Dec. 19, 2016