"COGNITIVE SCIENCE SOCIETY"
COGNITIVE SCIENCE SOCIETY 2010 Membership Application Secure on-line Join/Renew link available at www.cognitivesciencesociety.org Please Print Clearly This is a: New Application Renewal Name: Dr. / Mrs. / Ms. / Mr. ___________________________________________________________________________ Afﬁliation: _________________________________________________________________________________________ Title:_______________________________________________________________________________________________ Address:____________________________________________________________________________________________ __________________________________________________________________________________________________ City:___________________________________ State/Prov:___________ Zip: ______ Country: ___________________ E-mail:____________________________________________________________________________________________ Ofﬁce Phone: ____________________ Fax:___________________ Web: ______________________________________ Different rates apply to individuals living in different zones. Zone A includes: US, Australia, Canada, Japan, South Korea, New Zealand, Western Europe [Western Europe is comprised of the 27 member states of the EU (Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom) together with Iceland, Israel, Norway, Switzerland.] Zone B includes: all other countries, and rate applies to students and non-students. ZONE A MEMBERSHIP: $75.00 3 YEAR ZONE A MEMBERSHIP (save $15): $210.00 Qualiﬁcations for Membership (please check all that apply): advanced degree in a relevant discipline (e.g., PhD) published research in ﬁeld of cognitive science. other professional activities related to ﬁeld of cognitive science. STUDENT MEMBERSHIP (Zone A): $50.00 — Proof of current enrollment required Faculty Advisor: _____________________________________________________________________________________________ Advisor’s email: _____________________________________________________________________________________________ Graduate: ____ Undergraduate: ____ School: ______________________________________________________________________ ZONE B MEMBERSHIP: $30.00 — Rate for Zone B applies to students and non-students TOTAL DUE: RETIREE MEMBERSHIP: $30.00 — Retired and no longer in paid employment. PAYMENT INFORMATION: Check/Money Order Visa MasterCard Amex Discover Card Number: _________________________________________________ Exp. Date: ____________ 3 Digit Code: ________ Name on Card: ________________________________________________ Signature: _______________________________ Return this form with your payment. Checks or money orders (in U.S. dollars) payable to Cognitive Science Society. 10200 West 44th Avenue, Suite 304, Wheat Ridge, Colorado 80033-2840, USA Credit Card Payments can be faxed to Cognitive Science Society at (US - 001) 303-422-8894. Over Please for Description of Member Beneﬁts COGNITIVE SCIENCE SOCIETY Membership Beneﬁts Secure on-line renewal link available at www.cognitivesciencesociety.org The Cognitive Science Society, Inc. brings together researchers from many ﬁelds who hold a common goal: Understanding the nature of the human mind. The Society promotes scientiﬁc interchange among researchers in disciplines, comprising the ﬁeld of Cognitive Science, including Artiﬁcial Intelligence, Linguistics, Anthropology, Psychology, Neuroscience, Philosophy, and Education. Membership in the Society includes: · a full one-year subscription to Cognitive Science Journal and Topics in Cognitive Science (TopiCS) · web-based electronic access to Cognitive Science Journal and Topics in Cognitive Science (TopiCS) · reduced registration fees at the Annual Meeting of the Cognitive Science Society · reduced subscription rates to the journals Trends in Cognitive Sciences, Trends in Neurosciences, and Connection Science · discounted book prices from select publishers · no additional postage rate for all journal recipients regardless of location · the latest news on conferences, academic programs, jobs, and funding opportunities at www.cognitive- sciencesociety.org. * Please Note: CSS uses emails for communication with members for updates, renewal notiﬁcations and information about upcoming events. Please provide us with a viable email address. Also, please be sure to conﬁgure your email program to accept communications from CSS@resourcenter.com. You might also want to contact your email server administrator to make sure that messages from this address get through to you. Thank you!