GPSA REGISTRATION

Thursday, Friday and Saturday, November 11, 12 and 13, 2010

Georgia Political Science Association Annual Meeting

Double Tree Inn, Savannah Georgia

The GPSA is the professional association for political science practitioners and educators in Georgia (USA). Membership is drawn from the public, private and academic sectors. We welcome attendees and participants worldwide.

Instructions: Please use the form below for convention pre-registration and/or for membership in the GPSA. PRE-REGISTRATION CLOSES ON OCTOBER 15, 2010. Payment must be included with this registration form.

LODGING RESERVATIONS MUST BE MADE SEPARATELY, DIRECTLY WITH THE DOUBLE TREE INN IN SAVANNAH, Georgia. Please contact the hotel directly for accommodations:

Double Tree Inn, Savannah Georgia

411 West Bay Street
Savannah, GA 31401
(912) 790-7000

The GPSA must receive panel participant's registration form and fees by October 15, 2010 for the participant to be included in the program. Failure to pay registration fees does not constitute withdrawal of paper submission. Please notify the program chair if you have submitted a paper and are unable to attend. Submission of this registration form means that the registrant is familiar with the requirements of the conference.

Last Name First Name Middle Initial

Organization/Institution/Company/Agency

Address

City State Postal Zip

Office Telephone Number FAX Number E-mail Address

Please check appropriate categories:

Convention Registration (Payment must be included with this registration form):

Membership and Conference Attendance ($75)

Student/Retiree ($25)

Late Registration fee ($25) on-site or postmarked after October 15, 2010.

Checks/money orders must be payable in U.S. Dollars. Do not send cash.

A ($25) fee will be charged if a check is returned for non-sufficient funds.

Payment in full must accompany registration form. If the form is postmarked by the deadline but is not accompanied by payment, then a late fee ($25) will be assessed.

Total Amount Submitted:

GPSA website http://gpsanet.org

The GPSA is a tax exempt non-profit 501(c)(3) corporation. IRS TAX ID # 29-1443423

Make check or purchase order payable to Georgia Political Science Association and mail it along with a copy of this form to:

Meg Keiley-Listermann, GPSA Treasurer

Georgia Gwinnett College

1000 University Center Lane

Lawrenceville, GA 30043