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I would like to join the Smithville Community Historical Society.
Types of Memberships:
Individual Life Member...$100.
Annual Individual Member...$10.
Anual Husband and Wife Members...$15.
Student Membership...$5.00
Organizational Membership...$50.

Make check payable to Smithville Community Historical Society  (No cash, please.)

 

NAME(S)_______________________________________________________________

ADDRESS(Street, City, State, Zip)___________________________________________

_______________________________________________________________________

PHONE_________________________________

Membership is open to everyone who wishes to promote the purposes of this society;
but if you have a family connection to Smithville (or Green Township), we would like to hear
about it.

Membership choice and amount enclosed_______________________________________
 

Mail this form and check to:
Smithville Community Historical Society
P.O. Box 12
Smithville, OH 44677