Geneva County, Alabama Historical Society, Inc.
406 S. Commerce Street
Geneva, Alabama 36340
Join Us In Preserving Geneva County's Unique Heritage
Name
(Individual)___________________________________________________________________________
or Both names (family)_______________________________________________________________________
Address_________________________________________________________________________________
___________________________________________________________________________________
Phone #__________________________________________________________________________________
Email Address_____________________________________________________________________________
Annual Membership Rates July - June (Renewable in June and July)
______ Individual $15.00 ______ Business $40.00
______ Family $20.00 ______ Benefactor $150.00
______ Student $8.00 ______ Contribution $______
All contributions are tax deductible
Mail this form to the address above to become a member.
Updated 03/28/07 02:46:41 PM DGF