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)
• Unlimited research visits during our regular business hours (non-members pay $5 fee per day, per researcher through 2012; $10 starting 1/1/2013)
• Helping to preserve Susquehanna County history

Membership Fees

For Nov-Dec 2012: $15

New membership structure begins 1/1/2013

• Individual/Personal Membership - $30.00 per year
• Business/Professional Research Membership: $200.00 per year
• Corporate Sponsorship:
  • Stocker Level: $500 up to $1000
    *Includes one copy of the Journal of Genealogy and Local History and a listing on Sponsor Recognition page in the journal.
  • Blackman Level: Over $1000
    *Includes Stocker Level benefits and an advertisement with your company logo in the journal.

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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