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Sigma Xi Explorers Renewal Form
Explorer #: (if known)
Email:
*
First Name:
*
M.I.
Last Name:
*
Is the Sigma Xi Explorer under the age of 18?:
*
Yes
No
For Parent/Guardian/Legal Custodian:
I certify that I am the parent, guardian or legal custodian of the above Explorer:
*
Yes, I am the parent, guardian or legal custodian of the Explorer listed above.
Name of Parent/Guardian/Legal Custodian:
*
Parent/Guardian/Legal Custodian Phone:
*
Parent/Guardian/Legal Custodian Email:
*
American Scientist Magazine
Your Sigma Xi Explorer membership dues include one year of the digital version of
American Scientist
magazine. You may elect to instead receive the print version of
American Scientist
magazine for an additional $10.00 per year charge.
Please indicate which format of
American Scientist
magazine you'd prefer to receive:
*
Digital Version (Included)
Print Version (Additional $10.00 per year charge)
Explorer Dues
Select Your Sigma Xi Explorer Dues Term:
*
Sigma Xi Explorer Dues : 1 Year (US $25.00):
(Expires on June 30, 2025)
Sigma Xi Explorer Dues : 2 Years (US $50.00):
(Expires on June 30, 2026)
Sigma Xi Explorer Dues : 3 Years (US $75.00):
(Expires on June 30, 2027)
Sigma Xi Explorer Dues : 4 Years (US $100.00):
(Expires on June 30, 2028)
American Scientist Magazine - Print Version:
*
American Scientist
magazine print version: 1 year (US $10.00)
American Scientist Magazine - Print Version:
*
American Scientist
magazine print version: 2 years (US $20.00)
American Scientist Magazine - Print Version:
*
American Scientist
magazine print version: 3 years (US $30.00)
American Scientist Magazine - Print Version:
*
American Scientist
magazine print version: 4 years (US $40.00)
Current Total:
$0.00
Calculate