Application for ACLARS Membership

Given Name*
Surname*
Suffix*
Title
If you prefer another title, please specify:
Official Full Name (for programmmes/publications)
Preferred Name:
Date of Birth
MM slash DD slash YYYY
Highest Academic Degree
Institution:*
Institutional Address*
Street Address Line 1
Institutional Address*
Street Address Line 2
Institutional Address*
City
Institutional Address*
State / Province / Region
Institutional Address*
ZIP / Postal Code
Institutional Address*
Country
Residental Address*
Street Address Line 1
Residental Address*
Street Address Line 2
Residental Address*
City
Residental Address*
State / Province / Region
Residental Address*
ZIP / Postal Code
Residental Address*
Country
Preferred Address for Communication
Work Phone Number (Please Include Country Code)*
Residence Phone Number
Mobile Phone Number
WhatsApp
Preferred Phone Number for Communication
Work Email Address*
Private Email Address
Preferred Email Address for Communication
Brief statement of qualifications, expertise and interest in the law and religion field:*
I hereby apply for membership to:*
- ACLARS Full – 50USD
- ACLARS Associate (Student) – 25USD
- ACLARS + ICLARS – 80USD
Normally, the International Consortium for Law and Religion Studies (ICLARS) and African Consortium for Law and Religion Studies (ACLARS) charge $50 each for annual due. By special arrangement, if you pay $80, you become a member of both organizations, and in addition, receive an electronic subscription to the Oxford Journal of Law and Religion.
Please agree to the statement below*
I commit to pay the required dues upon approval of my application for membership.
Please print your name below intended as your signature.*
Today's Date*
MM slash DD slash YYYY
CAPTCHA