435 Brevard Ave., Cocoa FL 32922, ph 321-690-1971, www.myfloridahistory.org
FHS Membership
Mastercard and Visa accepted. You are welcome to call us, send this form, or CLICK HERE TO BECOME A MEMBER NOW
Membership Application: please print and mail to below address
Please enroll me as a member of The Florida Historical Society and Library of
Florida History. All members receive 4 issues of The Florida Historical
Quarterly, special mail outs and four issues of The Society Report newsletter.
| ___Student ($30) | ____Family Members ($75) | ___Founding Fellow ($100) |
| ___Individual Member ($50) | ___Institutional ($75) | ___Contributing ($200) |
| ___Corporate ($500) |
_______I have enclosed a check for $_______. To pay by Mastercard/VISA:
please call: 321 - 690 - 1971 Ext. 203
please fax: 321 - 690 - 4388
All membership subscriptions should be sent to:
Membership Coordinator
435 Brevard Avenue
Cocoa, Florida 32922
Account Number:___________________________________________________
Name:______________________________________________________________
Signature:____________________________________________________________
Address:____________________________________________________________
City:_________________________________________________________________
State:________________________________ Postal Code (ZIP)_______________
Telephone ( )______________________ext. __________________________
E-Mail Address:_______________________________________________________
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