Membership Application
The work of the Society is never done and requires continued interest and constant attention. We invite anyone who shares our interests and goals to become a member and join us in preserving and promoting the heritage of our community.
NAMES _____________________________________________________________ MAILING ADDRESS ___________________________________________________ CITY _____________________________ STATE ________ ZIP ________________ PHONE NUMBER (____)_______EMAIL ADDRESS _________________________ Date: ______________ How did you hear about us?__________________
|
Type Of Membership |
Dues |
No. of Persons |
Annual Member |
$15 each |
|
Child Member (Birth up to 18 years) |
$5 each |
|
Family Member (husband/wife/children under 18) |
$30 / family |
|
Life Member |
$200 each |
I would like to make a donation to the Society of $____________.
I might be interested in helping with an activity, please contact me ___________.
Please print application and send check and application to:
Geneva Historical and Genealogical Society, Inc.
Membership Chairman
PO Box 91
Geneva, Florida 32732
Reg. # SC-11193 -
FL Solicitation of Contributions
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