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Printable Membership Form

To become a member, please print this page, complete the form and mail it, along with your check to:

 

Shenandoah Heritage Center

Post Office Box 122

Shenandoah Virginia 22849

 

 

Application for Membership

 

Name: ____________________________________________________________________________________

 

Address: __________________________________________________________________________________

           

               __________________________________________________________________________________

 

City: _____________________________________________________________________________________

 

State: ____________________________________________________________________________________

 

 

Phone: _____________________________________________

 

FAX: ______________________________________________

 

Email: ______________________________________________

 

Check One:

 

Individual Membership ($20.00) ____

 

Please make check payable to: Shenandoah Heritage Center

 

Dues & Contributions are tax deductible