|
|
 |
 |
 |
 |
| |
 |
 |
 |
|
|

Date: 
Name: 
Address: City, State: 
Zip: 
Daytime Phone: 
E-mail Address: 
Surnames Researching:

Membership is for one year and runs from January 1 to December 31.
|
Membership Classifications
|
Cost
|
Check One
|
| Non-Member Daily Research Fee |
$5.00
|
|
| Individual |
$15.00
|
|
| Family |
$20.00
|
|
| Supporting |
$35.00
|
|
| Civic / Social Organization |
$50.00
|
|
| Individual Life Membership |
$150.00
|
|
Make Checks Payable To:
Please check if a Membership Card is
desired ( )
|
|
 |
 |
All
contents of this website © 2001-2002 Mifflin County Historical Society, all
rights reserved,
|
 |
 |
|
|