Become A Member Of The Blooming Grove Historical Society

Blooming Grove Historical Society

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Become A Member Of The Blooming Grove
Historical Society

Please send us your

	Name
	Address
	Phone Number
	Email Address

Also include a check made payable to the "Blooming Grove Historical Society" with one of the following membership fees.

Membership for year: ______________

	___ Life $1,000.00 (Endowment)
	___ Patron $50.00
	___ Sustaining $25.00
	___ Family $15.00
	___ Individual $10.00

Make checks payable to: “Blooming Grove Historical Society”

Downloadable Membership Application

Send Completed Applications & Check to:

Mail to:        Blooming Grove Historical Society
                    % Rev Larry K Waltz
                    138 Waltz Ave
                    Williamsport PA 17701
                    570-323-2385
                    lnrwaltz@aol.com