logo3
Surry County, Virginia, Historical Society and Museums, Inc.
P. O. Box 262, Surry, VA 23883   Phone (757) 294-0404
E-mail address: surryhistoricalsociety@gmail.com.
HOME RESOURCES SEARCH
Location Map
We are here!
Surry County, Virginia, Historical Society and Museums, Inc.

MEMBERSHIP APPLICATION

Name __________________________________ Please Check below
Address ________________________________ New Member? _____________
State & Zip Code _________________________ Renewal? ___________________
Phone Number ___________________________ Membership Class _________________________
E-mail address____________________________ Date _______________________
Choose one of the following classes of membership. Amount Paid $__________________
Class of Membership Annual Dues
Member $20.00
Sustaining Member $50.00
Benefactor Member $100.00
Life Member $500.00
Student Member $5.00

Please make checks payable to: 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!

Close this window.


footer
Pages updated 29 July 2014. © Surry County, Virginia, Historical Society and Museums, Inc.   Contact Webmaster

[CEMETERIES] [ CHURCHES ] [CLAREMONT] [COURTHOUSE] [DENNIS CORNER] [ FAMILIES ]
[HISTORY LINKS] [HISTORY NOTES] [ MEETINGS] [MEMBERSHIP] [NEWSLETTERS] [ VOLUNTEERS]