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 Student/Senior Citizen  $25

 Individual $35

 Family  $50

 Centennial  $100

 Bicentennial  $200

 Historical Donor  $500

 Patron of Local History  $1000

Yes, I Want To Become A Member Of The Lawrence County Historical Society

(Print & Submit the Form Below)

_________________________________
Name
______________________________________
Address
______________________________________
City/State/Zip
______________________________________
Telephone: Home/Work
The Lawrence County Historical Society is a tax exempt, charitable 501(c)3 organization. All membership
contributions are tax deductible to the fullest extent of the law.
Please make checks payable to:
Lawrence County
Historical Society
P.O. Box 1745
New Castle, PA 16103
(724)658-4022

(Temporary Membership Card)

Lawrence County Historical Society, Inc.

 MEMBER

MEMBER SIGNATURE________________________

SECRETARY SIGNATURE_____________________

YEAR: 1999/2000

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Mailing Address: P.O. Box 1745, New Castle, PA 16103

Street Address: 408 N. Jefferson Street, New Castle, PA 16101

Phone/Fax:  (724) 658-4022 - E-mail: lawchs@verizon.net


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Unless otherwise noted, all information and photographs contained on this page are the property of the Lawrence County Historical Society. Copyright, 1999. All rights reserved. No portion of this page may be reproduced without written permission of the Lawrence County Historical Society.