Please print this form, complete and mail in with a check.
SIMPSON COUNTY HISTORICAL SOCIETY MEMBERSHIP FORM
Annual dues are $10 per person, $15 per family
Checks should be made out to the Simpson County Historical Society
Mail to: Simpson County Historical Society
206 N. College Street
Franklin, KY 42134
Name: ______________________________________________
Address:____________________________________________
City: ________________________State: __________ Zip Code:__________
Phone___________________________
Email address:_____________________
Amount Enclosed: $__________
Family membership ________ Individual membership ________
Please check one of the following:
New Membership ______
Renewal Membership _____
_____Yes, I would like to volunteer at the Archives.
______Once a week Mon.-Fri. ____Once a month on Sat.