MEMBERSHIP: January 1st through December 31st
NAME: ____________________________________________________________________________
ADDRESS: _________________________________________________________________________
TELEPHONE ____________________ E-MAIL: _____________________
Chapter Membership (must also be a Society Member - check active)
DUES:
( ) Floyd $5.00 ( ) Montgomery $5.00 ( ) Radford $5.00 ( ) Giles
$5.00
( ) Pulaski $5.00 ( ) Student $5.00 ( ) At Large $15.00 ( ) Contributing
$20.00
( ) Life $100.00 ( ) Active $10.00 ( ) Supporting $25.00 ( ) Perpetual
$600.00
Example: (Active) $10.00 + (Pulaski) $5.00 = $15.00 total
Paid Membership in NRHS entitles you to FREE admission to the
Museum on all occasions, the quarterly publication BENCHMARKS,
and the annual publication JOURNAL
Form obtained via website
MAIL TO:
NEW RIVER HISTORICAL SOCIETY
P.O. Box 373
Newbern, VA 24126
Phone: 1-540-674-4835
Fax: 1-540-674-1266