Join the Jacksonville Historical Society!
Print the form below and mail to JHS
If you want to submit your Membership Form online
instead of mailing it, just click on this.


Your Name
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Mailing Address
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City - State - Zip
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Telephone - Home                                                   Work
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E-Mail Address
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Your Areas of Interest (optional):
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.
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Please check the category of membership that you prefer
(Membership is for one year from the date your payment is received):
_______ Heritage   $5,000 and up _______ Sponsor   $250
_______ Patron      $1,000 and up
_______ Friend     $100
_______ Sustaining $500 _______ Family    $50
_______ Corporate $250 _______ Single     $35
In addition, I want to contribute to:
_______ St. Andrews Operations _______ Jacksonville Historical Center
_______ JHS Archives _______ Merrill House Restoration
Contributions are tax-deductable  TOTAL ENCLOSED = $___________

Make check payable to "The Jacksonville Historical Society"
Send this form with your check to:

The Jacksonville Historical Society
317 A. Philip Randolph Blvd.
Jacksonville, FL 32202-2217