Membership
Application:
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:________________________________ Telephone: (
)________________
E-Mail Address:_______________________________________________________