REGISTRATION and MEMBERSHIP - MACLAS XXXI

CONTINUING STRUGGLES FOR INDEPENDENCE AND JUSTICE

The Johns Hopkins University

Baltimore, Maryland • March 26 and 27, 2010

Name: ___________________________________________________________________

Phone: ___________________________________________________________________

Email: ___________________________________________________________________

Professional affiliation: ______________________________________________________

Complete Address (Please indicate the address at which you wish to receive the journal):

_________________________________________________________________________           __________________________________________________________________________         __________________________________________________________________________

Conference registration fee:                            (before 1 March 2010)            $100   ____

                                                                        (after 1 March 2010)                $120   ____

MACLAS annual membership dues (includes a copy of our journal Latin American Essays):

You must be a member of MACLAS to appear on the program of the Conference. 

Student membership                                                                            $10 _____

Incomes of less than $30,000                                                              $20 _____

Incomes between $30,001 and $40,000                                              $30 _____

Incomes over $40,000                                                                          $35 _____

Please indicate if you would like to make a contribution to these funds

Judy B. McInnis Distinguished Service Award Fund                               $_____

Christina Turner Graduate Student Travel Fund                                       $_____

Total                                                                                                                  $_________

Please make your check payable to MACLAS and return to:

Brian Turner

Department of Political Science

Randolph-Macon College

P.O. Box 5005

Ashland, VA  23005-5505