This form is for Membership Dues Assistance Waiver requests for the Linguistic Society of America. Review the following instructions carefully before continuing.

Provide the requested personal information in the fields below, then click Next to continue to the application. Carefully review all requirements prior to submission. Your application will not be complete until you click Submit on the second page of this application. If you exit the form before submitting, your application will not be processed.

Once submitted, your application will be reviewed and processed within 7–10 business days. For questions or assistance, please contact lsa@lsadc.org.
Personal Information

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* 1. First Name:

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* 2. Last Name:

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* 3. Primary Email Address:

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* 4. Are you currently or have you previously been a member of the LSA?

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* 5. LSA Members and Past Members:
Please provide the primary email address associated with your existing account in the box below.

Waiver Selection

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* 6. Please review the available membership waiver types below and select the one that best applies to you. Note that you can only select one waiver type. Click "next" to finalize your choice and continue to the application.

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