Membership Application
NAME _________________________________________________________
ADDRESS _________________________________________________________
_________________________________________________________
CONTACT # LAND LINE _________________MOBILE _________________
EMAIL(print) __________________________________________
Why do want to join the Pioneer Historical Society? ________________________
___________________________________________________________________
Would you be willing to present a program at the society’s monthly meeting? ______
If yes, what program topic? ______________________________________________
The Society’s scope is Telfair County and the surrounding areas. Do you have a special
interest in a topic, time period, or physical area? ______________________________
_____________________________________________________________________
Welcome to the Society
Pioneer Historical Society—ANNUAL DUES--$10.00 Check ____ Cash ______
Checks Payable to Pioneer Historical Society
Mail Application: Pioneer Historical Society or Bring to a meeting
& Dues 9 East Oak Street 1st Wednesday of Month
McRae-Helena, GA 31055 Little Ocmulgee State Park
11:30 AM https://www.phshistory.org/Membership Application.pdf
