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:

Elizabeth Durst, Ph.D.
Executive Director
AATSEEL of U.S., Inc.
University of Southern California
3501 Trousdale Parkway
THH 255L
Los Angeles, CA 90089-4353

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