BERKELEY COUNTY HISTORICAL SOCIETY
 
APPLICATION FOR MEMBERSHIP IN THE BERKELEY COUNTY HISTORICAL SOCIETY WITH HEADQUARTERS IN MONCKS CORNER, SOUTH CAROLINA. 
 
NAME    ___________________________________________________________ 
   
ADDRESS   ___________________________________________________________ 
 
CITY ___________________ STATE __________ ZIP CODE _________
 
TELEPHONE NUMBER  (_________)  ___________________________________
 
_____________________________________________________________________ 
SIGNATURE
 
STUDENTS       $15.00      ________ 
INDIVIDUAL       $25.00      ________ 
FAMILY       $35.00       ________ 
BUSINESS     $100.00       ________ 
     
The society operates under a 501 (a) (2), not for profit organization, from the Internal 
Revenue Service. Support for the Society is provided by membership dues, seminars, 
sale of books,  tours, and special events. Its purpose is to collect and preserve history, 
educate the public, and encourage historic preservation in Berkeley County. 

Please forward completed application along with dues to: 

Jean Crosby 
Membership Chairman 
108 The Oaks Ave. 
Goose Creek, SC 29445