AABS Membership Form 1 Type2 Contact3 Level4 Students / Educators5 Payment Application Type*I am applying for a new membershipI am renewing my membership Your InformationName* First Last Email* Enter Email Confirm Email Has your address changed?*No. My address is the same.Yes. I need to update my address.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Membership InformationPremium Memberships Premium level memberships (Sponsor and higher) are suggested to members with annual incomes of US $75,000 or more. All amounts over and above the regular membership rates are considered donations and in the United States may be deductible for income tax purposes. Family Rates Each spouse is entitled to all privileges of individual membership but only one copy of AABS periodicals will be sent per family.Membership*Membership Level*StudentEmeritus (retired)RegularFamilySponsorPatronLifeInstitutional MembershipBaltic MembershipTotal Amount Due $0.00 Student StatementTo qualify for the student rate, students must complete this section with their membership application.Enrollment Status*Enrolled Full Time, Current Academic YearEnrolled Part Time, Current Academic YearDepartment*University / College*Educators & ScholarsIf you are an educator or scholar in Baltic studies, or related areas, please provide the following information: Academic Background (list degree(s) in American equivalent and in chronological order, earliest degrees first):2) Academic affiliation and position (if any) 3-a) Field of specialization (name up to three) 3-b) Field of specialization in Baltic studies (if different from above) 4) Languages used in your researchIE. Estonian, Finnish, Latvian, Lithuanian, Polish, Russian, Swedish, etc. PaymentPayment Method*I will pay online via PayPalI will send a check / money order via mail After clicking the submit button below, you will automatically be redirected to PayPal to complete the payment process. If you do not have a PayPal account, select the "Pay with Debit or Credit Card" option on the PayPal page. To Pay by Mail 1) Payment may be made by VISA/MasterCard or by check. If you are paying by check, please make your check payable to AABS. We can accept checks drawn on Canadian banks if payable in US Dollars. We also accept International Money Orders denominated in US Dollars. Any credit card charges should be denominated in US dollars. 2) Print and mail the confirmation email you receive after submitting this form along with your payment to: AABS Executive Office University of Washington Box 353420 Seattle, WA 98195-3420. Australian Members Australian members may pay by check in Australian funds directly to the AABS Australasian Committee, c/o Dr Uldis Ozolins, 76 Alexandra Street, Greensborough, Victoria 3088, Australia. Please contact the AABS office at email@example.com for current membership rates in Australian dollars. Credit card payments and Paypal payments should be denominated in US dollars. Total Amount Due $0.00 This iframe contains the logic required to handle Ajax powered Gravity Forms.