1924  THE PHILADELPHIA CLASSICAL SOCIETY  2014

PCS 2014-2015 MEMBERSHIP FORM & 
FALL PROFESSIONAL DAY REGISTRATION 
SATURDAY, NOVEMBER 22, 2014 
	                                                               
TITLE: (Please circle one)   Ms.    Miss    Mrs.    Sr.    Rev.    Dr.    Mr.

NAME:   	

HOME ADDRESS: 	

	      zip code 	
                    
HOME PHONE/CELL #: 	

SCHOOL (if applicable)	

SCHOOL ADDRESS:	

	      zip code 	

SCHOOL PHONE: 	

E-MAIL ADDRESS:   	(please print neatly)
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PHILADELPHIA CLASSICAL SOCIETY MEMBERSHIP:
   Regular		($25.00)
   Student or Retired	($15.00)			PCS Membership     		_____________
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PCS FALL PROFESSIONAL DAY @The Baldwin School, Bryn Mawr
   Registration + Morning Refreshments			($35.00)
   Registration + Morning Refreshments + Lunch		($50.00)
   
   							Fall Professional Day		 _____________
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TOTAL ENCLOSED          ______________ 
☞	Send your membership AND Fall Professional Day payment by November 15 to:
				Mary Brown, President
				Philadelphia Classical Society
				916 Cedar Grove Road
				Wynnewood, PA 19096
	             
NOTA BENE: late registration, e-mail: mbrown@vfmac.edu

Check or money order should be made payable to the Philadelphia Classical Society