Membership Form

Membership fees cover the period Sept 2009- Aug 2010. Print this page, fill it out, and send a check for $15, or $25 for a couple, to: Halifax County Historical Society c/o Barbara Bass 7040 Philpott Rd South Boston, VA   24592 Name __________________________________ Street _________________________________ City _____________ State ___ Zip ________ Telephone _________________ Email _________________@______________

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Site compliments of Halifax WebWorX. September 5, 2009