ASA Membership/Subscription Renewal Form

Use this form to renew your ASA membership or subscription to Perspectives on Science and Christian Faith. Payment can be made from the PayPal button by any credit card or your PayPal account.

Instructions: Provide the requested information in the form and select the type of membership renewal you would like. Then click on the first "Add to Cart" button. You will be taken to the "Shopping Cart" page. (Note: You must add items one at a time to the PayPal Shopping Cart.) If, in addition, you wish to make a tax exempt donation to ASA, click the "Continue Shopping" button and you will be returned to this page, where you can use the second "Add to Cart" button. Otherwise "Proceed to Checkout." You can also click on the "View Cart" button at the bottom of this page to see your Shopping Cart and to begin the checkout process. Follow the instructions on the PayPal pages. You can pay by any credit card or your PayPal account. No information will be sent to the ASA until the transaction is completed. Your PayPal receipt will be the only acknowledgment of your transaction.

Please supply any address updates or corrections to your membership information on the very last PayPal page in the field entitled "Updates."


Items with * are required.
 
Name:
    *First   Middle or Middle Initial   *Last   Suffix
*Membership Number:
                                             See your renewal notice or mailing label.
Email Address:
                                 Please enter a current email address to which you would like to receive occasional emails from the ASA.


RENEWAL TYPE:


Any gift is appreciated. Members who give a gift of $200 or more become sustaining donors. If you are not a sustaining donor, would you please consider becoming one? Thank you.

DONATION: $