Please make checks payable to: The Surry County, Virginia, Historical Society
and mail to P. 0. Box 262, Surry, Virginia 23883.
You can print this application form with the Print command in your web browser's File menu. Look in the upper left corner of your browser screen in the "File" menu for the "Print" command.
We are also happy to receive your application written by hand on a piece of paper!