Pendleton County Historical & Genealogical Society

Membership Form

Please print this page (background won't print), fill it out (print legibly please) and mail it to the address below with your membership fee of $15.00 per year.

Name_____________________________________________________________________________

Address____________________________________________________________________________

City/State/Zip________________________________________________________________________

Phone:_____________________________________________ E-Mail__________________________

Surname Family Ties to Pendleton County:_______________________________________________

Other Interests (use as much space as you need:___________________________________________

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Mail this form along with your check made out to PCHS for the proper amount to:

Pendleton County Historical & Genealogical Society

P O Box 130

Falmouth, KY 41040