Committee on Lesbian, Gay, Bisexual and Transgender History Membership Form for New Members and Renewals
Name: _____________________________________________________________
Circle one of the following:
New Membership Renewal (Renewals need only fill in information that has changed)
Mailing Address (for Newsletter):
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
Email: _____________________________________
(The following information is optional):
Position/Title: _______________________________
Affiliation: __________________________________
Phone (home): ______________________________
Phone (work): _______________________________
Fax/Website: ________________________________
Include the information above on Committee on LGBT History on-line directory of members (circle all that apply):
Name Address Position/Title
Affiliation Telephone (home) Telephone (work) Email Fax/Website
I am interested in reviewing books for the newsletter in these areas:
_______________________________________________
_______________________________________________
_______________________________________________
Membership Categories Cost Three-Year Option (circle the one that applies)
(to simplify y/our bookkeeping) Totals
Basic (Student, Retired, Unemployed)
$5
$15
Regular (Income Under US$ 40,000/Year)
$10
$30
Regular (Income Over US$ 40,000/Year)
$20
$60
Lifetime
$200
$200
Donation
Grand Total (checks payable to “Committee on LGBT History”)
Is My Membership up to date?
To check, look at the mailing label on your newsletter. Across from your name is a number or the letter “L.” The number indicates the last year you paid. The “L” indicates Life Member status. If you aren’t paid up, please renew your membership now. We try to continue to send the newsletter to those who are behind in paying, but this puts a strain on finances. If you don’t think the number on your newsletter accurately reflects your last dues payment, or if you don’t have the newsletter but still want to check on this, please contact the Committee on LGBT History Secretary, Wesley Chenault, at wjchenault@vcu.edu.
Become a fan of the Committee on LGBT History on Facebook! This Facebook page exists primarily to allow members to connect with one another independently, and to ensure that we don’t lose touch with members as addresses and university email accounts change. Search for “Committee on LGBT History” on Facebook to find the page.
Donations and dues support Committee on LGBT History activities at the AHA annual meeting and other conferences, our prizes, our newsletter, and our other projects. Mail membership forms, dues, and donations to:
Wesley Chenault, CLGBTH Secretary
James B. Cabell Library Special Collections and Archives
Virginia Commonwealth University
901 Park Avenue
Richmond, VA 23284-2033