MOTUS HUMANUS MEMBERSHIP APPLICATION

Dues for 2008

Membership year: 1 January – 31 December, 2008

Your name _____________________________________________________________

Home address ___________________________________________________________

___________________________________________________________

Home phone no. ( )_________________ Work no. ( ) ____________________

FAX no. __________________________ Email _______________________________

Professional Position:_____________________________________________________

My  basic  training  in Laban-based  analysis  and  movement  study has  been  (where,  when,

what):

* * * * * * * * * * *

Membership Category	Yearly Dues	Amount Enclosed
Member	$55	$
Associate	$45	$
International Affliate	$35	$
Institutional	$115	$
	Total Enclosed	$
Send to: Secretary/Treasurer, Motus Humanus, P.O. Box 21113, Boulder, CO 80308, USA