ARTEMISIA MEMBERSHIP and RENEWAL FORM
Please, print and complete this form. If paying by check, make checks payable to: Artemisia. Then mail or fax with payment to:
Artemisia, 5909 SE Division St.
Portland, OR 97206 
503-235-9067
fax: 503-234-2367
artemisia@anthroposophy.org

All members receive our newsletter and discounts 
    on conference tuition. Dues are for 12 months.

_____ $50 Artemisia Basic Membership

_____ $100 Sustaining Membership

_____ $500 Sponsoring Membership

_____ $25 Student/Low Income Dues

Other Organization Memberships/Subscriptions:

_____ $20 (Optional) US ADDRESS Subscription to The World Wide Newsletter (formally The Circular Letter),
published six times a year by the School of Spiritual Science Medical Section, about 12 pages in length.

_____ Other/Low Income

_____ Donation to help defray low income subscriptions

_____ Foreign subscription $30 US

_____ Foreign - emailed version $20 US

_____ Please discontinue my membership to Artemisia

_____ Total enclosed

Name___________________________________Profession____________________

Address______________________________________City___________________

State______Zip_____________ E-Mail__________________________

Home Ph._______________________Home Fax____________________

Work Ph._______________________Work Fax____________________

MC/VISA#_____________________________________Exp.__________

Signature___________________________________________________