BECOME A MEMBER
of the
Susquehanna County Historical Society Benefits:

• A subscription to he Historical Society's Journal of family and local history (currently 1 issue/year)
• Free use of the Reference Room (non-members pay $5 fee per day, per researcher)
• Free queries
• Helping to preserve Susquehanna County history

Membership Fees

If you join during ...	Single	Dual (two at same address)
January - June	$20	$25
July - December	$15	$20

To join:

• Print out this page
• Provide the requested information
• Send this form, with check (payable to S.C.H.S.), to the address below
• Include an SASE if you wish to receive a membership card

Name:	________________________________________________________________
Address:	________________________________________________________________ ________________________________________________________________ ________________________________________________________________
Phone:	________________________________________________________________
E-mail:	________________________________________________________________

Send to:

Susquehanna County Historical Society
18 Monument Street
Montrose, PA 18801

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