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
| Sustaining |
$50 |
|
| Annual | $40 |
|
| Five-Year | $160 |
|
| Enrolled Student | $10 |
(Send certification--6 year limit) |
| Family Membership | $50 |
(Includes two copies of the program for the annual meeting) |
| Life Membership | $600 |
(payable in quarterly installments, to be completed within 1 year) |
| Institutional | $60 |
NOTE: ADD $6 (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:__________________________________________________________________