ANNUAL PCAHS MEMBERSHIP APPLICATION

    
    Regular Annual membership rate is $20.00 and Lifetime membership
    rate is a one time fee of $100.00 Please make check or money order
    payable to PCAHS and mail along with the following information to:
    
    PCAHS
    PO Box 875
    Murfreesboro, AR 71958
    
    
    
    NAME _________________________________________________________________
    
    
    ADDRESS ______________________________________________________________
    
    
    CITY _________________________________________________________________                                                                                                                                                          STATE
    
    
    STATE ______________________________________ ZIP CODE ________________
    
    
    TELEPHONE (Area Code + Number) _______________________________________
    
    
    Are you interested in HISTORY _______ GENEALOGY _______ BOTH _______
    
    Please mark one or both of the above. If you are interested in genealogy
    please list the Surnames you are researching below or if you need more
    space, use a separate sheet of paper and mail along with your membership
    application. You are also encouraged to include a Pedigree Chart and
    Family Group Sheets with your Membership Application. All surnames
    submitted to PCAHS will be placed in our Surname File. Queries submitted
    to "THE GEMS" are FREE to members and will be published as space permits.
    Please be specific when writing your query regarding names, dates, places
    and the information you are seeking.
    
    
                         SURNAMES BEING RESEARCHED
    
    
    _______________ _______________ _______________ _______________ _______________
    
    
    _______________ _______________ _______________ _______________ _______________
    
    
    _______________ _______________ _______________ _______________ _______________