[print and mail]
Name ________________________________________
Title _________________________________________
Institution _____________________________________
Address ______________________________________
City __________________________ State ______________________ Zip __________
Phone (____)__________________________________
Fax (____)__________________________________
Email ________________________________________
Please make checks ($20.00, North America ($10 for students); $30.00, elsewhere) payable to Dreiser Society.
Send check and application to:
Roark Mulligan
Secretary-Treasurer, Dreiser Society
Department of English
Christopher Newport University
Newport News, VA 23606
dreisersecretary@yahoo.com