TAA Renewing Member Application

TAA Renewing Member Application

SECURE FORM: The information you view and send cannot be read while in transit.

ABOUT YOU

* required information

* Email:

* First Name:

* Last Name:

* Renewing Member

Do you wish to join a TAA Chapter? If so, please select the name of the chapter you are joining:

TAA Chapter:

Would you like to learn more about forming a TAA Chapter?

Please update any information that has changed

* Home Address-1:

Home Address-2:

* City:

* Country:

State:
State is required for United States
*Phone:	- -

* Zip:

Alternate address:

City:

State:

Country:

Zip:

Extension:

Fax:

- -

Institutional affiliation:

Company:

Teaching field:

Writing genre/discipline:

Personal Web Site:

Please check if you do not wish your site to be listed in a members' directory

Race/Ethnicity:

Optional — Info to be used for statistical purposes only by the TAA Foundation

Authors Coalition Survey

ATTENTION: All new and renewing members MUST fill out this survey. The results of this survey determine the amount of funding TAA receives from the Authors Coalition each year through its reprography distributions.

Please check the categories to which you belong, i.e., in which you qualify as a published author. (Do not check more than one genre for each published work.) For purposes of this survey, a "published" work means that
1) the work is reasonably capable of being photocopied abroad and is not self-published, or 2) if the work is self-published, that there have been no fewer than 1,000 copies sold, that the work is commercially distributed outside the U.S. and is reasonably capable of being photocopied abroad. For purposes of this survey, author-subsidized publications shall be considered self-published. We know that the list is not inclusive, but all Coalition members must use this list because this is how foreign reprographic rights organizations conduct their surveys to determine what kinds of non-title specific works are being photocopied.

I am not a published author

DUES

Coupon Code:
(Please note: Your total discounted dues, with the coupon amount applied, will be shown in your email receipt.)

Please choose ONE that fits your situation:

ACADEMIC AUTHORS

$15 Graduate Students/Instructors/Postdoctoral Fellows

$30 Assistant Professors

$55 Associate Professors

$75 Professors

TEXTBOOK AUTHORS

$30 Royalties under $5,000 a year

$75 Royalties above $5,000 a year

ALL MEMBERS

$35 Emeritus member — If you are no longer writing or revising and your royalty income is less than $5,000 annually

$55 Professional member (Examples: agent, indexer, editor, publisher, etc.)

Please describe:

You are encouraged to voluntarily become a contributing or sustaining member:

$100 Contributing member — If your annual royalty income exceeds $10,000

$150 Sustaining member — If your annual royalty income exceeds $25,000

All membership dues include a subscription to The Academic Author and the Members Only section of the TAA web site.

GIFT MEMBERSHIP

Do you wish to add a Gift Member?

NOTE: Give one or more gift membership(s) to TAA, and receive $5 off your membership dues.
Discount will be automatically applied.

PAYMENT

Charge my credit card for:

* Credit Card Number:

* Credit Card Type:

* Credit Card Expiry Date:

* Date of Birth:

verified by
Accepted Credit Cards are American Express, Diners Club, Discover, MasterCard, Visa.

* required information

BILLING ADDRESS

* Address-1:
Address-2:
* City:
* State:
* Country:
* Zip:
* Phone:	- -
Fax:	- -

ABOUT YOUR WORK

Please check all that apply.

	Graduate student working on thesis
	Graduate student working on publishing a paper
	Working on Monograph
	Looking for first academic job
	Changing academic jobs
	Writing first textbook
	Published textbook author Publisher:
	Writing first journal article
	Grant writer
	Supervising graduate theses, other graduate writing
	Published book author Publisher:
	Journal article author
	Journal editor
	Textbook editor
	Book editor
	Literary agent
	Indexer
	Publisher
Other:

COLLEAGUES

Please tell us about anyone you would recommend we contact about joining TAA.
Name:
Address:
City:
State:
Zip:
Phone:	- -
Email:

CONCERNS

To help TAA stay attuned to its members, please tell us about issues in which you're especially interested.

How did you hear about TAA?

Security Check

Security Code:

Type Security Code:

Please note:
• You should receive an email receipt confirming your online credit card payment.

TAA is a member of the Authors Coalition of America (ACA) and is an Associate Member of the International Reprographic Rights Organization (IFRRO).