Ashville Area Heritage Society

34 Long Street ~ Ashville, Ohio  43103

740-983-9864

 

 Membership Application

 

   Date: ______________________

 

   Full Name: _____________________________________

 

   Address:  ______________________________________

 

   City: __________________________________________

 

   State: _______________________________

 

   Zip Code:  ____________________

 

   Phone: _______________________

 

   Email:  _________________________________________

 

Choose type of membership and dues:

(Circle One)

 

Individual $10.00 per year
Family $15.00 per year
Lifetime (one time) $100.00 per person
Lifetime (one time) $150.00 per family
Organizations $25.00 per year
Small Business $25.00 per year
Corporate  $200.00 per year

 

Please make personal check, cashiers check

or money order out to and send to: 

 

Ashville Area Heritage Society

34 Long Street

Ashville, Ohio  43103