The Burroughs Bibliophiles, Inc is a nonprofit 501c(3) literary society devoted to studying and promoting interest in the works, creations, and life of author Edgar Rice Burroughs, including the globally popular icon, Tarzan®. The Burroughs Bibliophiles was founded on 4 Sep 1960 and adopted “The Burroughs Bulletin” journal, the only such publication personally approved by Edgar Rice Burroughs.

Annual membership benefits include four issues of the quarterly journal, “The Burroughs Bulletin,” and 12 issues of the monthly newsletter, “The Gridley Wave.” The Bibliophiles also sponsor an annual convention, “The Dum-Dum” – the 2010 Dum-Dum will be in Chicago 19-22 Aug 2010 at the Best Western Chicago-Hillside(see or for details).

Annual membership dues (US funds) – $35 (domestic) or $45 (international)

Dues Paid: ____ $35/70 domestic or ____ $45/90 international / ____ 1 Year or ____ 2 Years

Paid by: _____ check or money order, or _____ PayPal

New member: _____ Renewing member: _____

Name:______Nickname: ______

Mailing Address:______

______(ZIP + 4, if available)

Optional Information (whatever you are willing to provide):

Phone: ______e-Mail Address: ______

Occupation: ______Age: ______Sex (F/M): ___

____ Yes ____ No – May we list your name, address, phone number, and e-mail address (if provided) in the Burroughs Bibliophiles membership directory (available only to other members)?

How did you learn of The Burroughs Bibliophiles? ______

-- If you are interested in expanding your profile information, please see the questions on page 2.

Send check or money order in US $, made out to “Burroughs Bibliophiles, Inc” and mail along with

your membership form to Henry G. Franke III, Treasurer, 318 Patriot Way, Yorktown, VA 23693 or

Send money via PayPal to [please click on the “Personal” button and send money as “gift”; we are a nonprofit]; you can also e-mail your form to this address.

Additional information about my interest in Edgar Rice Burroughs and his works (optional):

1. How long have you been interested in Edgar Rice Burroughs? ______

2. How did you become interested in ERB? ______

3. What are your areas of interest? (books, newspaper strips, comic books, movies, art, etc)

______

4. Do you specialize in any particular area? ______

5. Have you written on ERB (printed or online)? ______

6. Are you interested in submitting something to “The Burroughs Bulletin” or “The Gridley Wave”?

______

If so, please contact the Editor, Henry Franke, at , or at the mailing address listed on page 1.

7. Would you be willing to receive your monthly “The Gridley Wave” newsletter by e-mail (in pdf format) rather than by paper mail? ____ Yes ____ No (because: ______)

2010 v1c Tarzan® is a registered trademark of Edgar Rice Burroughs, Inc