Annual Membership Renewal Report Required fields are marked with an asterisk *. Name of Organization* If organization is a member of another, larger organization, enter its name Mailing Address Organization Officer Information In what month are officers usually elected? ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Membership Fees (Regular Members only) Membership Fees (use the larger of the two amounts) Number of members at the end of the current year Number of members <= 36Number of members > 36 Number of members: Minimum Membership Fees = US $18.00 Number of members: x US $.50 = US $ I hereby certify that the number of members reported is true and correct. Officer's (Digital) Signature * Payment Payment Method Payment may be made by either check, PayPal, or credit card. Checks must be in US dollars and drawn on a US bank. We encourage our non-US members to use PayPal or credit card. After submitting this form, you will be provided a button to submit your Paypal/credit card payment. Once on Paypal, you may need to scroll down to pay by credit card. CheckPaypal or Credit Card Checks may be mailed to: Douglas M Cohen IAJGS Treasurer 1800 Ben Franklin Drive A1002 Sarasota, FL 34236 USA Hit submit, but then DO NOT go to Paypal. Your transaction will be processed manually
