Reynoldsburg/Truro Historical Society
P.O. Box 144, Reynoldsburg, Ohio 43068

MEMBERSHIP APPLICATION

Date _______________________ Name_________________________________________________________ Address_______________________________________________________ City_______________________________State__________ Zip_________ Phone_______________________Cell/Work Phone____________________ Email__________________________________________________________ Work/Business___________________________________________________ Membership Category:  Individual $10      Couple or Family $15      Student (through 18) $2  Sustaining $25      Contributing $50 (yearly) Lifetime:    Individual $300      Couple $500 Additional Members_____________________________________________ Sponsored By:_________________________________________________

Additional Comments & What Talents Would You Like to Contribute:

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