Fort Smith Historical Society, inc.


I am a...  ____ New Member ____Renewing Member

I would like to make a donation in the amount of $_______

The Historical Society is a nonprofit organization under Sec. 501 C (3) of the Internal Revenue Code 71954. Gifts and legacies are tax deductible.


Name_________________________________________________________

Street Address__________________________________________________

City___________________________________________________________

State__________________________________________________________

Zip Code_______________________________________________________

Please check the appropriate space next to the membership for which you would like to sign up.
 

Regular Annual.........................................$30
Senior Annual (62+).................................$15
Business Annual ....................................$200
Sustaining Annual.....................................$50
Joint Membership w/Museum...............$100
Life Membership - Individual only .........$350

please mail the completed form, along with your check, to...

Fort Smith Historical Society, inc.
P.O. Box 3676
Fort Smith, AR 72913

Thank you!