MEMBERSHIP APPLICATION FORM
 

( This form may be printed )

Please complete and mail with remittance to: 

The Monroe County Historical Society
P. O. Box 401
Forsyth, Georgia 31029

YOUR NAME OR NAME OF MEMBERSHIP;    __________________________________________

Your Mailing Address                                         :   __________________________________________

City, State, Zip Code                                         :   __________________________________________

                                                                              ___________________________________________

 Term of Membership:  Annual, Sustaining,             ___________________________________________

(If this is a Gift Membership, we will notify the recipient for you.  Please list their name and address above and provide your name and address in order for us to advise them of your GIFT. )

Gift from:    ______________________________________

                  ______________________________________

                  ______________________________________

Your comment to include with the notification: (Happy Birthday, Anniversary, Christmas, etc.) __________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________