Forsyth County Historical Association
Forsyth County, North Carolina
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To become a member of the FCHA simply complete the application.
Name________________________________________________________________
Address______________________________________________________________
City__________________________ State______________ Zip_________________
Phone Number_____________________ E-Mail Address_______________________
Password ____________________________________________________________
(10 characters, lowercase....no numbers please)
(Email and Password must be provided before you can access our Members Only site)
Dues $25.00 per member. Lifetime membership $125.00
Membership dues are due by January, but may be paid in advance. Nonpayment of dues
by March 31 will automatically suspend membership in the Association.
Meetings of the general membership shall be held during the months of March, April,
May, June, July, August, September and October.
Signature:___________________________________________________________
Please send check or money order, along with this application form to:
Kathleen Clayton
Treasurer
6025 Crestridge Rd
Winston-Salem, NC 27106
forsythhistory@yahoo.com
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