Enrollment form
BRASA dues cover the calendar year, January - December. Please check your membership category below and provide the information requested. We can accept your credit card numbers over the telephone, by fax, or if you print this page and include payment in the mail. You can also use the automatic payment form with your credit card.
Membership Category: ___ New Member ___ Renewal
BRASA now has two categories of membership: One for scholars based in the US or Europe, and one for scholars residing permanently in Brazil or 'developing countries.'
US/Canadian/European Rates:
___ Faculty $50 ____ (two years) $90 ____(three years) $120
___ Independent Scholar $20*
___ Student $15
___ Institution $70
___ Joint Membership $60 ____ (two years) $100 ____ (three years) $160
Brazilian/Developing Country Rates:
___ Faculty $30 ____(two years) $50 ___(three years) $65
___ Independent Scholar $20*
___ Student $10
___ Institution $70
___ Joint Membership $40 ____ (two years) $70 ____ (three years) $100
___ Subscription to the Luso-Brazilian Review $44 (one year, 2 issues) ____
Credit Card: ___ Visa ___ Mastercard ___ Check or Money Order
Card Number: _______________________________________ Expires: ____________________
Last Name _____________________________________________________________________
First Name_____________________________________________________________________
Street Address_________________________________________________________________
City, State, Postal Code, and Country__________________________________________
Institution____________________________________________________________________
Discipline_____________________________________________________________________
Telephone______________________________________________________________________
FAX____________________________________________________________________________
E-mail_________________________________________________________________________
* Independent Scholar: Please describe below your interest in Brazil:
_______________________________________________________________________________
Send to:
Brazilian Studies Association
VU Station B 350031
2301 Vanderbilt Place
Vanderbilt University
Nashville, Tennessee 37235-0031
U.S.A.
FAX: 615-343-6002
