Joining the SPJ | Membership form Please print out, fill in and follow instructions at bottom to sign-up. Membership application First name: ________________________ Last name: ________________________ __ Mr. __ Ms. E-mail address: __________________ Academic year address: Address: __________________________ City: ________ State: ___ Zip: ________ Telephone: ______________ Secondary/permanent address: Address: ________________ City: ________ State: ____ Zip: ________ Telephone: ______________ Dues (benefits): Student membership…$35 (half the $70 professional rate) Columbia chapter……$5 Total: $40.00 Payment (choose one of the following): __ VISA ___ Mastercard __ Amex ___ Check ("Society of Professional Journalists") Credit card number: _________________ Card Exp. Date: _____________ Signature: _________________ Mail (or drop off in mailroom slot) to: Prof. Sreenath Sreenivasan, SPJ Faculty Adviser, Room 707, Columbia Graduate School of Journalism 2950 Broadway, New York, NY 10027 spj@columbia.edu * 212-854-5979