Forest County Historical Society
 
To become a member or to make a contribution, please print off form,  fill out and return with payment.
Make check or money order payable to: Forest County Historical Society

Name(s):_____________________________________________     Date:___________

Address:________________________________     City:_________________ 

State:_____     Zip:________     Phone:(          ) _________________ 

E-mail: _______________________________

Annual Dues:  Active - $8.00 per person 
Contribution: Any amount is appreciated.

Membership runs for one calendar year (Jan 1 to Dec 31)

 Amount enclosed:___________

Return to:
Forest County Historical Society
Judy Habjanetz, Membership Chairman
P.O. Box 546
Tionesta, PA 16353

For more information call
(814) 755-4422
(leave message if no answer)
or
E-mail: FCHS@usachoice.net

Thank You
Your Support is Greatly Appreciated


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