Application for ACLARS Membership

Name*
First / Given Name(s) Last / 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 Address Line 2 City State / Province / Region ZIP / Postal Code Country
Residential Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 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.
Member Dues*
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

African Consortium for Law and Religion Studies