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Membership Application

Shelby County Historical Society, Inc.
P.O. Box 457
Columbiana, Alabama 35051-0457

Phone: (205) 669-3912

For online payment membership application Click Here.

Type of Membership and Annual Dues
[ ] $20.00 Individual/Couple      [ ] $50.00 Sustaining or Contributing      [ ] $100.00 Patron
[ ] Check Here if this is a "GIFT" for a New Membership ... gift acknowledgement will be mailed.

The annual dues are from January 1 through December 31; all renewal dues become due on January 1 and delinquent after February 1 of each year.
Those that join after January 1 will be placed on the mailing list and will receive all previously published publications for that year.
The Quarterly Newsletter is published yearly in February, May, August and November.
These publications provide members with local historical and genealogical information and photographs.
[Memberships are non-tramsferable. A 501(c)3 non-profit organization.]

Please mail check, payable to Shelby County Historical Society, Inc., and this "Membership Application" to
Shelby County Historical Society, Inc.
Museum and Archives
P.O. Box 457
Columbiana, Alabama 35051-0457

This form may be printed and submitted as shown. Please type or print information plainly.

(1)  Application Date (1)
(2)  Name (2)
(3)  Mailing Address (3)
(4)  City, State, Zip Code (4)
(5)  Telephone (5)   (        )
(6)  E-Mail (6)

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