FHS Membership

Mastercard and Visa accepted. You are welcome to call us, send this form, or CLICK HERE TO BECOME A MEMBER NOW

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:_______________________________________________________