RSS MEMBERSHIP FORM
IMPORTANT: Thanks for printing clearly and providing all the requested information. If your institution
has multiple campuses, please note yours. You will receive an e-mail confirmation.
Name(s) (last, first): ___________________________________________________________
Complete Mailing Address: ______________________________________________________
Phone (indicate whether home or office): ___________________________________________
Areas of concentration:
Please circle the
amount you are paying at this time.
Associate or full professor, administrator: 1-year $60
Assistant professor :
Adjunct, part-time, student, retired, or unemployed: 1-year $20
Mail this form, along with payment (a check or money order in U.S. funds), to Reception Study Society, c/o Philip Goldstein, 2 Andrews Way, Newark, DE 19711.