Joining the Forum for History of Human Science (FHHS)

I want to become a new member of the Forum for History of Human Science (FHHS).
I am already a member, but please update my information, as given below.
Name:
Work Address:
 
 
City
State ZIP
Phone
Fax
E-mail
Homepage (optional) Please have my homepage appear on the Web
 
Home Address (optional). Please have my home address appear on the Web.
Address:
 
City
State ZIP
Home phone (optional): Please have my home phone number appear on the web.
 :
Areas of scholarly interest (limited to 25 words, please):
 

Dues for membership in FHHS are $10 (US) annually. Graduate students and underemployed people need only pay the dues to enroll as members; once they are more gainfully employed, they can resume paying annual dues.  Claim dues exemption by writing a note to this effect to the Treasurer.

Your membership will be activated once your dues have been received. After submitting this information, please send your dues payment to:
FHHS Treasurer and Corresponding Secretary
Nadine Weidman
138 Woburn St.,
Medford, MA 02155
E-mail: weidman@fas.harvard.edu