Membership Payment form

For AATSEEL use only: RECORD LOCATOR: ; Invoice #

Membership Application: Pay by Check

Your membership is not confirmed until we receive payment and notify you.

To pay by check or money order, print this page now (or otherwise copy the information below). Mail the page with your check (made payable to AATSEEL) or international money order in the amount of $ to:

Jillian Costello, PhD
Executive Director
AATSEEL of U.S., Inc.
University of Colorado Boulder
276 UCB, McKenna 129

Boulder, CO 80309

Contact/Billing Address

Institution



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