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Application for Membership.  Print out and enclose application with membership dues.


Saint Clair Community and Historical Society

  Membership Application 

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)

 

 

 

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