Georgia Philological Association

Membership Form and Conference

Registration

Brewton-Parker College

Mount Vernon, Georgia

 

2009 GPA Regular Faculty Membership

 $25
2009 GPA Graduate Student Membership $15
2009 GPA Retired and Independent Scholars Membership $15
   
2009 Conference Fee (full-time faculty) $50
2009 Conference Fee (graduate students, retired, and independent scholars) $35

NAME _______________________________________________________________

MAILING ADDRESS___________________________________________________

AFFILIATION_________________________________________________________

E-MAIL______________________________________________________________

Make checks payable to BREWTON-PARKER COLLEGE/Memo: GPA

Please return to:

Dr. Vicki Hill
Brewton-Parker College

P.O. Box 197

Campus Box 2052
Mount Vernon, GA 30445-0197

** 2009 Conference fees must be paid in addition to Membership fees. **

_______________________________________________________________________

PLEASE DETACH THIS PORTION AS YOUR RECEIPT

Your Name: _____________________________________________

Date:  __________________________________________________

 

2009 GPA Regular Faculty Membership

 $25       _______
2009 GPA Graduate Student Membership $15       _______
2009 GPA Retired and Independent Scholars Membership $15       _______
   
2009 Conference Fee (full-time faculty) $50       _______
2009 Conference Fee (graduate students, retired, and independent scholars) $35       _______
   
Total Enclosed $___     _______