APPLICATION FOR MEMBERSHIP

To apply for membership, complete this form and mail with remittance to: Southern Historical Association, Department of History, University of Georgia, Athens, GA 30602-1602

MEMBERSHIP CLASSES

Sustaining
$75
Annual
$50
Five-Year
$200
 
Enrolled Student
$10
(Send certification--6 year limit)
Family Membership
$60
(Includes two copies of the program for the annual meeting)
Life Membership
$750
(payable in quarterly installments, to be completed within 1 year)
Institutional
$100
 
NOTE: ADD $10 (PER YEAR) FOR FOREIGN POSTAGE.
Field of Interest:
U.S. ________ European ________ Latin American _______

I enclose $_____________to pay for my dues in the Southern Historical Association.
Name______________________________________________________________

Address___________________________________________________________

__________________________________________________________________

E-mail address: ___________________________________________________

Applications for student membership must be accompanied by this certificate signed by a faculty representative of the institution in which the applicant is currently enrolled.

I hereby certify that the person whose name appears on this application is currently enrolled as a student at

_________________________________________________________________________


Signed:___________________________________________________________________


Position:__________________________________________________________________