The C.S. Lewis and Inklings Society
Membership Form
Name:
first
last
Address:
city
state
zip
Telephone:
E-Mail:
School Name (if applicable):
School Address (if applicable):
city
state
zip
Membership type:
Select One
Student Membership $10 / year
Faculty and Independent Scholar membership $20 / year
Retiree and Retired Independent Scholar membership $10 / year
Please do not include me in the Society membership directory (when published).
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