Arkansas State Communication Association

Membership Type

New Member *

Student Member

Regular Member *

Institutional Membership **

Each institutional member must fill out an individual application also. Thank You.

Address Change/Correction

Date   

Name   

Organization   

Position   

Please list the address you want all ASCA info mailed to: (Note: we must make summer mailouts, please consider this in your decision to determine the best place for you to get ASCA mail)

Address:   

City:   

State:   

Zip:   

Is this your home address or work address?

Home Telephone:   

Work Telephone:   

Home E-mail:   

Work E-mail:   

I have been a member since:   

Committee Memberships and Offices held (include dates):

Other Address:   

City:   

State:   

Zip:   

Is this your home address or work address?

FAX Number:   

Would you like to become involved in any particular aspect of the ASCA? Any need that we can help with now?

* INDIVIDUAL MEMBERSHIP FEE IS $25.00 PER YEAR
** Institutional Memberships are $100.00 for 4 or fewer and $120.00 for 5 or more members per year.
A new membership year begins with the Fall Meeting Mailout.

MAKE CHECK PAYABLE TO ASCA        MAIL CHECK TO:

John Gale, ASCA Executive Secretary
Uiversity of Central Arkansas
Wingo 213 201 Donaghey Ave
Conway, AR 72035
501-450-3220
E-mail: jgale@uca.edu

REMEMBER! YOUR MEMBERSHIP ISN'T ACTIVE UNTIL YOUR CHECK IS RECEIVED

For new members, print a copy of the "confirmation" message you receive after submitting and mail it in with your check for verification.