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.