The American Auditory Society has duplicate membership certificates. If you are a member and desire a new certificate,
or additional copies for other office locations, please send
$5.00 per certificate to cover the costs of printing and shipping,
to the Society office.
Indicate the number of certificates desired,
the exact spelling and how you want the name on the certificate.
Your certificate(s) will be mailed to you.
(You may print this page and use the
bottom portion as an order form, but it is not required.)
Please send me
copies of my AAS Membership
certificate.
I understand that the cost of these is $5.00
each
TOTAL ENCLOSED:
(U.S. Dollars. Checks payable to American Auditory
Society)
Exact
spelling and identification for your name,as it is to appear
on certificate (print)
Personal
Information
Name
Date
Address:
Address:2
City
State
Zip
Phone
Fax
Email
American Auditory Society
352 Sundial Ridge Circle • Dammeron
Valley, UT 84783
Phone (435) 574-0062 FAX(435)
574-0063
