ACAS Membership Form 2014-2015
Association of Concerned Africa Scholars (ACAS)
Membership Form 2014-2015
(ACAS will not share your personal information with any other organizations or persons)
Name__________________________________________________________________________________________
Affiliation_____________________________________________________________________________________
Address_______________________________________________________________________________________
City______________________State_______________________________Zip______________________________
Phone #:_____________________________________E-Mail:_________________________________________
Africa Activist Scholarly and Country Interests:___________________________________________
_________________________________________________________________________________________________
May we forward your scholarly and activist interests to the press as a contact?_______
Would you like to join an ACAS Task Force?
_________Militarization in Africa and AFRICOM
_________Food sovereignty
_________Land grabs
_________Other:___________________________________________________
Please identify other ways you might like to be involved in ACAS:
_________Write an article in the ACAS Bulletin about__________________
_________Serve on the ACAS Board of Directors
ACAS Membership Status:
New member:______________ Renewal:___________________
Current ASA Member: Yes:_______ No:_______
Membership Fee: $10.00 per year (September-August)
Please return with a check payable to:
“Association of Concerned Africa Scholars” (not tax deductable)
Mail to: Michael Walker, ACAS Treasurer
538 Pacific Street, Apt 5-6
Brooklyn, NY 11217-2280