BCHS Membership Form - Bedford County Historical Society, PA

Bedford County Historical Society, Inc.

“As we look to the past,
the future looks to us.”

BCHS MEMBERSHIP APPLICATION Membership runs the calendar year from January 1 through December 31. All Donations are Tax Deductible. (Items with a `*` are mandatory.)
MEMBERSHIP APPLICATION FOR YEAR *

MEMBERSHIP * New Member Renewal Membership

TYPE (Choose one)* Student ................. $10 Donor ...................... $50 Benefactor .............. $250
Individual .............. $25 Contributor ............. $100 Patron .................... $500
Family ................... $35 Corporate ............... $150 Library Sponsor ...... $1000

You may share my contact information with other researchers: * Yes No
First Name * Middle Initial Last Name *
Address *
Address .
City * State * Zip Code *
Email Address
Telephone Number Cell Phone Number

Please list below the Surnames you are researching.

1. 2.

3. 4.

5. 6.

7. 8.

Comments

The mission of the Bedford County Historical Society is to preserve, protect, and promote
the history and heritage of Bedford County, Pennsylvania.