Online Membership Form

Annual ASLE Membership

To join ASLE please fill out the fields below. If you prefer to mail or fax your application, print out our Membership Form and send it in.

ASLE offers tiered membership types based on annual income, as well as Patron and Sustaining levels. Please select the level at which you want to join by entering the number of membership years your want to purchase at that level.

A 10% discount will be applied automatically to all multi-year memberships (2+ years) when you check out!

Fields marked with an * are required.

Membership Type*	Number of Years*

Lifetime ($1500)
Patron ($250)
Sustaining ($150)
Yearly income over $100,000 ($130)
Yearly income $84,000 - $100,000 ($115)
Yearly income $72,000 - $84,000 ($100)
Yearly income $60,000 - $72,000 ($85)
Yearly income $48,000 - $60,000 ($70)
Yearly income $36,000 - $48,000 ($55)
Yearly income $24,000 - $36,000 ($40)
Yearly income under $24,000 ($30)
Years added to your membership:

Voluntary Additional Donation to ASLE

Your tax-deductible donation will help fund ASLE programs, such as our Book and Paper Awards, Community Grants, Translation Grants, Subvention Grants, and International Membership Grants.

	No additional donation
	$10
	$20
	$30
	$50

Personal Information

ASLE Member Directory

Choose whether to display your information in the secure ASLE Member Directory. (Only name, title, affiliation, email, and interests will be published. All other information you provide here will remain confidential.)

Include my information in the online member directory

About You

First name: *
Middle initial:
Last name: *
Title:
Affiliation:
Phone number: *
Email address: *

Billing and Payment Information

Billing Information

Address 1: *
Address 2 (optional):
Address 3 (optional):
City: *
Country: *
State/Province/Territory: *
Zip/Postal code: *

Payment Information

Name on Credit Card: *
Credit card number: *	Numbers only, please do not insert dashes or spaces between numbers.
CV2: *
Expiration Date: *

Please fill out all form fields before submitting.
The submit button will not work until all required fields are filled out above, as indicated by an *.