fyou are not already a member or wish to renew your membership, please press CTL+P to print this form; then send it in to support the efforts of the Great Falls Historical Society.

Or, if you would like to download a copy of the form that also has information about our many interesting publications on local history, select the desired format from the following and then click GO.

If you don't have the free Adobe Acrobat Reader installed on your computer (for the PDF format), click the following to obtain a copy.

Get Acrobat Reader






GREAT FALLS HISTORICAL SOCIETY
P.O. Box 56, Great Falls, VA 22066

I wish to [__] join or [__] renew membership in the Great Falls Historical Society. Enclosed is a check for $__________ , made payable to: Great Falls Historical Society. (The Society is a section 501(c)(3) oganization.)
 NOTE: A copy of the Society's annual publication, is included with each membership.

Name(s): ___________________________________________________
   
$ 35.00  Annual Family Dues
Address: ___________________________________________________
$______ Tibbetts Memorial Fund
$______ Additional Contribution
              ____________________________________________________
 
$ ______ Total Remitted:

Phone: ___________________________________________

Email: ____________________________________________
    
        
Committee Preferences:
 
__ Membership __ Programs __ Publications __ Education
 
__ Hospitality __ Oral History __ Preservation __ Publicity