WACRA®
MEMBER APPLICATION / RENEWAL FORM

Please complete, print, and fax or mail this form today!

First
Name: 		Last
Name:
Title or
Position: 		Institution/
Company:

Work Address
Street
Address: 		City:
State or
Province: 		Zip Code:
Country: Office
Phone:
Office
E-mail:		 Office
Fax:
Homepage URL:

Home Address
Street
Address: 		City:
State or
Province: 		Zip Code:
Country: Home
Phone:
Home
E-mail: 		Home
Fax:
Membership
Type: 		Regular (US $65)
Organization ($350)
Sustaining (US $500)
Associate (US $55, for Advanced Students)
Publications
(optional):


 

Add $6 US ($19 International)
per book for handling & postage.

You can order one or more WACRA®  publications on CaseMethod Research &
Application. See the WACRA® Publications page for a listing of available 
publications, along with listings of each volume's table of contents and abstracts.
Total
Please send a check drawn from a US bank, an international money order, or include your credit card inorrmation below.
Payment
Method:		 VISA
MasterCard
Card
Number:
Expiration
Date:

Please complete, print, and fax or mail this form today!

This form is not submitted electronically.
You must print a copy and mail (or fax) it with your payment to:

 WACRA®
23 Mackintosh Ave
NEEDHAM (BOSTON) MA 02492-1218 U.S.A
Tel. +781-444-8982 Fax: +781-444-1548
e-mail: wacra@msn.com