Please print this form and return to:
The Thornton Wilder Society
The College of New Jersey
P.O. Box 7718
Ewing, NJ 08628-0718
Membership in The Thornton Wilder Society is open to scholars, teachers, professionals in the
arts, and members of the public interested in the life and legacy of Thornton Wilder. The
Society is a nonprofit organization (EIN and non-profit status number is 52-2276594). Annual
dues are $30.00. Make checks payable to The College of New Jersey with Thornton Wilder
Society in the memo line.
__________________________________
___ I wish to join. My $30 check is attached.
___ I wish to give a membership as a gift
Name:
(The Society is happy to handle these arrangements. Please provide instructions in an included letter.)
___ I would like to further support the Society with a donation at this time. Enclosed is my
contribution of $________
Preferred Mailing Address:
_____________________________________
_____________________________________
_____________________________________
Phone: (
) _______________________________
E-mail address: ______________________________
(If you choose to provide it, your address will be added to a contact list, NOT to a listserv.)
Institutional affiliation (where applicable):
_____________________________________
Please check areas of particular interest to you.
___ Drama
___ Fiction
___ Non-fiction
___ Wilder Scholarship
___ Wilder's life and times
___ Wilder's Family
___ 20th Century American culture
___ Other (please comment):
_____________________________________
Contributions to the Society are tax-deductible to the extent provided by law and we thank you
for them.