2010 SALIS Membership Application Use this form to pay online with a credit card, using secure PayPal. (to pay with a check or postal order, go here instead)
-- STEP 1: FILL OUT APPLICATION FORM ONLINE.
This is a: New membership Renewing membership
If you are renewing and your contact info is the same as last year, check this box and just fill in the member Name & Email.
Please read this! If the credit card holder is not the member, enter the credit card holder's name & email in the spaces below the member. Also, American Express Corporate Cards are not accepted by PayPal. Use a difference card, or pay with check or postal order (see above).
Section I - Contact Information for Member
Member Name
Section II - Membership Options
Type of membership: Full membership: $100 Elisad members reciprocal rate: $60 Associate: $50
I am interested in joining the following Special Interest Groups or Committees: [Read all about it!]
Special Interest Groups Australian SIG Canadian SIG Multi-Cultural SIG RADAR Network SIG South East Asian SIG
Committees Advocacy Development Governance Information Technology International Networking Membership & Outreach
Full members only: check if you'd like to receive hard copies or electronic notications about: NIAAA Publications NIDA Publications ONDCP / NCJRS Publications SAMHSA Publications
