The Peters
Creek Historical Society is continually interested
in obtaining new members. If you have any interest
in preserving our local history for future
generations, please show your support by completing
the following form:
Name:
________________________________________
Address:
________________________________________
City/State/Zip:
________________________________________
Phone:
______________________
[ ] One Year
INDIVIDUAL
FULL MEMBERSHIP $20.00
[ ] One Year
MEMBER & SPOUSE
FULL MEMBERSHIP $35.00
[ ] LIFE
MEMBERSHIP $200.00
NOTE: A LIFETIME MEMBERSHIP option is offered at
any time to
any new member or paid-up member in good
standing.
[ ]
DONATION/GIFT
$50.00 $100.00 $250.00 $500.00
[ ] OTHER
You may PRINT this form
from your browser and
mail with your check to:
Peters Creek Historical
Society
PO Box 208
Venetia, PA 15367
