The Southern Historical Association
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The Southern Historical Association
Membership Application

Full Name:

Address 1:

Address 2:

City:

State:

Zip Code:

Country:

Phone Number:

Email Address:

Select a Membership Class

($75 and above)
($50)
($200)
($10-complete form below)
($750-payable in quarterly installments)
($60-2 annual meeting programs)
($100)
Retired ($35; a member for 15 or more years & retired due to age)

NOTICE: For foreign memberships, add $10 per year for postage.

Recurring Billing--by checking the box to the left and submitting this form, I authorize the Southern Historical Association to charge the credit card I have listed on an annual basis for membership dues based on the membership category I have selected (note--category amounts are subject to change; therefore, amount charged will be based on membership fees for the following year). I understand that my card will be charged September 2 each year for the following year's dues. It is also my understanding that if I choose to cancel my recurring billing arrangement I will need to contact the SHA in writing. (Recurring billing does not apply to five-year memberships.)

Field of Interest:

Student membership requires proof of student status.

Students (only), please complete this section:

School/College/University:

Department
(Dept of History, School of Education, etc.):

Advisor's Name:

 

University of Georgia Email SHA