Application for Membership. Print out and enclose application with membership dues.
Saint Clair
Community and Historical Society
|
Last Name
|
|
First Name |
|
Middle Initial
|
|
||||||
|
Mailing Address |
|
||||||||||
|
Town |
|
State |
|
Zip
|
|
||||||
|
Phone Number |
|
|
E-Mail Address (If
Available)
|
|
If you would like to become a member, please complete the application. Dues: $5.00 per year. Dues due each January . Membership will be voted upon at the next meeting.
Make checks payable to: S.C.C.H.S.
Mail the application and check to:
Joan or Lois Gray
42 South Front St
Saint Clair, Pa. 17970.
************************
SCCHS Use Only *****************************
|
Date of Application |
|
Date of Approval |
|
|
Approved By |
|
|
|
|
|
(Signature of Presiding
Officer) |
|
|