USBBY Membership Application/Renewal and Donation Form   
STEP 1: Fill out your Contact Information (required fields in blue)
Name (first and last):
Institution:
Mailing Address (line 1):
(line 2):
(line 3):
Phone - Office:  Home: 
Fax:
E-mail Address:

STEP 2: Join USBBY or renew your USBBY membership. (If not joining or renewing at this time, you may select the "Donation Only" button.)

Select membership type and level:
INDIVIDUAL MEMBER:
STUDENT MEMBER: $15 per year (maximum of 3 years, must complete verification below)
Institution:
Enrolled through:
Faculty sponsor:
INSTITUTIONAL MEMBER:
Institutional memberships are open to organizations and publishing companies. Institutional Sponsor and Patron rates include an individual subscription to Bookbird and a link from the USBBY website to the organization´s site.
DONATION ONLY, no membership application

New Bookbird Subscription - $50 per year
For new subscriptions only; do not check if you currently subscribe.
Renewals will be invoiced by and should be sent directly to Johns Hopkins University Press.

STEP 3: MAKE DONATIONS:
IBBY Children in Crisis Fund$ Hands Across the Sea
   to support underfunded IBBY sections		$
Special Projects Fund$ General USBBY Donation$

TOTAL AMOUNT DUE:  
I will submit payment by (select one): Personal check    Credit card (online)

STEP 4: SUBMIT
To submit, complete this online form, then click the "Submit" button below.
Follow the directions on the next page to mail your printed form or to complete your credit card payment.

Note: Please make sure all information above is accurate and complete before submitting.
You will not be able to make corrections once this form is submitted.