Mailing Address: _________________________________ 

City: ___________________________  State: ____  Zip Code: __________  Country: _____

Phone #: __________________________

E-mail Address: ______________________________________ 

Purchase Order #: ____________________________________ 

Please check that apply:
                                            ___ $25.00 for ACTIVE/ASSOCIATE membership, 07-08
                                            ___ $35.00 for FOREIGN membership, 07-08
                                            ___ $15.00 for RETIRED membership, 07-08
                                            ___ $15.00 for STUDENT (full-time) membership, 07-08

            Membership: (New or Renewal): _________________ 

In addition to my dues, I am enclosing an extra tax-deductible contribution of:
___ $5     ___ $10     ___ $15     ___ $25     ___ $50     ___ $100

Mail check or money order (U.S. funds only) -- Payable to: FCSEA 
Family & Consumer Sciences Education Association
Central Washington University
Department of Family & Consumer Science
400 East University Way
Ellensburg, WA 98926-7565

Dues received during the membership year will receive all publications sent to members during that year.