Calhoun County, MS Historical & Genealogical Society, Inc.  Membership Form
P.O. Box 114                 Pittsboro, MS 38951
 Dues are $15.00 per year January through December
Please print this form and mail it. Do not send by e-mail.
A personal check or money order must accompany this form.

  DATE:                                                                                                             Please Circle: Renewal or New Member
 
NAME: 
 
COMPLETE MAILING ADDRESS: 
 
 
AREA CODE - PHONE NUMBER:
 
E-MAIL ADDRESS:
 
INFORMATION ABOUT YOUR RESEARCH:
FAMILY NAMES: 
 
 
 
 
SPECIFIC AREAS OF INTEREST - OTHER THAN FAMILY NAMES: 
 
 
 
 
 
TIME PERIODS RESEARCHING (IF APPLICABLE) 
 
 
 
We are constantly searching for items for "The Newsletter".  If you have Bible Records, personal stories, family trees, photographs, letters or any item relating to Calhoun County and that you would like to share with other members, please make a note here.  Someone will then contact you. Please us the back of this form to supply any additional information. 
 
 
 
 

We welcome suggestions, ideas corrections and beneficial criticism.
Contact  Rose Diamond if you have questions concerning this form.
Copyright 2002-06 by the Calhoun  County MS Historical & Genealgoical Society, Inc.
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