MEMBERSHIP

If you are interested in becoming a
member of our society please mail a
check or money order for $15 payable to
the Laurel County Historical Society to:

Laurel County Historical Society       310
West 3rd Street
London KY 40741
Membership in our society not only helps us preserve the history of our
community but also entitles you to 4 newsletter a year. Currently the
newsletters are published in February, May, August and November.   Each
newsletter contains around 20 pages. We welcome queries and articles for
the newsletter.
                                                                    MEMBERSHIP FORM
                                                    LAUREL COUNTY HISTORICAL SOCIETY
                                                                    310 West 3rd Street
                                                                    LONDON, KY 40741


                                            Membership Year: JANUARY 1st - DECEMBER 31st
                                                            Membership Dues - $15.00

            

NAME_______________________________________________________________________

ADDRESS____________________________________________________________________

CITY___________________________

STATE_________________________   ZIP _______________ (Please include all 9 digits.)

PHONE________________________

E-MAIL ____________________________________


Surnames you are researching:
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
            
*   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *
For Society Use only
Application Received By ______________________________________
Date Application received _____________________________________
Membership for Year _________
If application is received mid-year were newsletters given to member?  Yes   No
Cash  or Check                 Check Amount _______________ Check # ____________
Membership Card File ________               Data base File _______