The Pennsylvania College English Association
                                Membership Form

Name: ________________________________________________ Institutional Affiliation: ________________________________________________ Status: ___ Undergraduate Student ___ Graduate Student ___ Full-time Faculty ___ Part-time Faculty ___ Retired Address: ________________________________________________ Phone: ________________________________________________ Email Address: ________________________________________________ Type of membership

Dues enclosed: ___ Regular: $30 ___ Joint: $40 ___ Student: $15 ___ Retiree: $15


Please make checks payable to PCEA. Mail checks and this form to:
Gay Chow, PCEA Treasurer Department of English 110 Leonard Hall Indiana University of Pennsylvania Indiana, PA 15705-1094