Troup County Archives

Membership Application

Troup County Historical Society

Instructions: Print and complete this form, (choose FILE, PRINT... from your web browser's menu) and attach your check made payable to Troup County Historical Society. Seal in a stamped envelope and mail to:

Troup County Historical Society, P.O. Box 1051, LaGrange, GA 30241

Please select a category of membership:

__ Builder .......... $ 25.00
__ Sponsor .......... $ 50.00
__ Sustaining .......... $ 100.00
__ Founder .......... $ 200.00
__ Patriot .......... $ 300.00
__ Senator .......... $ 500.00
__ Governor .......... $1000.00
__ Marquis .......... $5000.00

Name:___________________________________

Address:_________________________________

City:_________________ State ____ Zip:_______

Phone (W): ___________ Phone (H): __________

E-mail Address: ___________________________

Thank you for your support!


 Return to Archives Home Page