Georgia Philological Association
Membership Form and Conference
Registration
Brewton-Parker College
Mount Vernon, Georgia
2008 GPA membership |
$25 |
| 2008 GPA graduate student membership | $15 |
| 2008 Retired and independent scholars | $15 |
| 2008 Conference registration fee | $40 |
NAME _______________________________________________________________
MAILING ADDRESS___________________________________________________
AFFILIATION_________________________________________________________
E-MAIL______________________________________________________________
Make checks payable to BREWTON-PARKER COLLEGE/Memo: GPA
Please return to:
Dr. H. Lee Cheek, Jr., GPA Secretary-Treasurer
Brewton-Parker College #2009
P.O. Box 197
Mount Vernon, GA 30445-0197
_______________________________________________________________________
PLEASE DETACH THIS PORTION AS YOUR RECEIPT
Your Name: _____________________________________________
Date: __________________________________________________
| 2008 GPA membership | $25 _____ |
| 2008 GPA graduate student membership | $15 _____ |
| 2008 Retired and independent scholars | $15 _____ |
| 2008 Conference registration fee | $40 _____ |
| TOTAL enclosed | $ _____ |