NAME:
Membership Application - Email Renewal Form
Montgomery County Historical Society
ADDRESS:
PHONE:
EMAIL:
Please Check type of Membershsip below & then submit prior to making purchase
(Membership period is January to December)
(K-12)
(2 Years)
If mailing Application,
 please make checks payable to MCHS 
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MAIL ALL CHECKS TO:
Montgomery County Historical Society
Po Box 262
Clarksville, TN  37041-0262

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$255 Corporate
$500 Institutional
$2,000 Preservation Society
$500 Life
New Member
Renewal Member
Changing Membership
$25 Individual
$10 Student
$35 Family