Please print this page, complete the form, and mail.

Georgia Association of Historians
Membership Registration Form

Please print
Last name  First name
Title Affiliation
Street
 
City Zip
Phone Phone
E-mail
Guest information:
Name

Address

 

Annual membership --for those not attending annual meeting--$10

 $

Member Registration $50 /$60 after Feb. 1  includes membership.

 $

Guest Registration $40 / $50

 $
Check or MO #

Total

 $
Send Check or Postal money order to:

Kathryn W. Kemp, Executive Secretary-Treasurer
Arts & Sciences 105-J
Clayton State University 
2000 Clayton State Blvd.
Morrow GA 30260

Membership is for the calendar year 2008