classical humanities society of south jersey (chssj)

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CLASSICAL HUMANITIES SOCIETY OF SOUTH JERSEY (CHSSJ)

Membership Application

Fall 2015 – Spring 2016

Check One: Beginning Membership ______ Membership Renewal _______

Name: ______________________________________ Date: ____________

Street Address: _________________________________________________

City: _______________________________ State: _____ Zip: ____________

Phone: (_____)_________________Email: ___________________________

Membership Levels - Check One:

___ $200.00, Patron of the CHSSJ ___ $100.00, Benefactor of the CHSSJ

___ $50.00, Sustaining Member - “Fellow” ___ $12.00, Regular Member

___ $6.00, Student Member (Non-Stockton student). Must include copy of

student ID with this form.

Please pay dues by October 5, 2015

Do you require a receipt for membership to be sent? (circle one): Email USPS

Please make checks payable to “Stockton College Foundation” (with “CHSSJ” in the memo line) and return this form to:

Prof. Amy Papalexandrou, CHSSJ President

School of Arts and Humanities

Stockton University

101 Vera King Farris Drive

Galloway, New Jersey 08205

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