WINFORMS dues are $25.00 ($12.50 for students and senior citizens) for each calendar year, payable to WINFORMS at P.O. Box 23257, Washington, DC 20026-3257. Non-students may renew for up to three years.

Please print out and send in the following information.

Personal Information

Name____________________________________	Title_________________________________

Home Address____________________________	Bus. Address__________________________
	
		____________________________		________________________________

City__________________State_____Zip_____	City________________State_____Zip_____

Home Phone______________________________	Bus. Phone____________________________

Home Email______________________________	Bus. Email____________________________

Preferred Email: __ Home  __ Business	INFORMS Member? __ yes  __ no
________________________________________________________________________________
Status (check all that apply): 
__ New Member ($25)	__ Renewing Member ($25)   __ Senior Citizen ($12.50)  
__ Current Student ($12.50) (first 3 years only)
__ Information Update Only
________________________________________________________________________________

Current WINFORMS dues paid (check one)
	__ Directly to WINFORMS
	__ Through INFORMS

Send FeedBack to (check one):  __ Home __ Work
Send Feedback via email only:  __ yes  __ no ('yes' helps save vital funds.)
...........................................................................................................

Updates to your membership data may be sent by mail to WINFORMS to the PO Box above or by email to winforms@mail.informs.org