Associate Membership

__ Yes I want to become an Associate Member and add my voice to the more than 13,000 members of AFSA.

Name__________________________________________________________

Address________________________________________________________

_______________________________________________________________

E-mail__________________________________________________________

Home phone_____________________________________________________

Work phone_____________________________________________________

Fax_______________________________________________________

Rates

Associate Membership
Annual Dues Rate (2008)		$98.05
Lifetime Associate Membership		$1,000.00

Please return this application with your check or credit card payment to the address below.

American Foreign Service Association
PO Box 98026
Washington, DC 20077-7093

Credit Card Information: Visa MasterCard $___________________

Name as it appears on card______________________________________________

Credit Card #_________________________________________Exp. date______________

Signature___________________________________________________________________

Tell me more about the following AFSA benefits:

__ AFSA's Speakers Bureau
__ Writing for the Foreign Service Journal
__ AFSA Insurance Programs
__ Long-Term Health Care
__ Accident
__ Dental
__ Disability
__ Life and Term Life
__ Professional Liability
__ Other_____________________________