Frontier Country Museum
                       
and Historical Center
            
Crescent,  Logan County,  Oklahoma
F.C.H.S. Museum   P. O. Box 856    Crescent, Oklahoma 73028
(405) 969-3660 -Telephone         (405) 969-3704 -Fax


This page was updated: 23-Sept-2008
  �  2001-2008 Frontier Country Historical Society
Crescent, Logan County, Oklahoma
Website design by:
Marv Hawkins
Museum Hours
  Tues-Saturday-10am-4pm
Sunday-1-4pm
Monday-closed
Capturing the Times of Oklahoma
                                Membership Enrollment Application
  
  Anyone who would wish to apply for membership in the
Frontier Country
  
Historical Society (FCHS) may print, complete and mail or fax this application to:

                                         Frontier Country Historical Society
                                         P. O. Box 856
                                         Crescent, OK   73028
                                         (405) 969-3660  Telephone
                                         (405) 969-3704   Fax


                                
MEMBERSHIP ENROLLMENT
               
        In The FRONTIER COUNTRY HISTORICAL SOCIETY


I,
______________________________________, Address  _____________________________________

  
________________________________,  City, State, Zip __________________________________

desire membership in the FRONTIER COUNTRY HISTORICAL SOCIETY. 

My gift is a sum of $
_______________.  This sum may be spread over a five (5) year
period upon request.

The Membership Category is
______________________________________.


Listed additional memberships below:

2. _________________________________________________________________________________
     (List name, address, city, state, zip and Membership Category)

3. _________________________________________________________________________________
      (List name, address, city, state, zip and Membership Category)

4. _________________________________________________________________________________
      (List name, address, city, state, zip and Membership Category)

5. _________________________________________________________________________________
      (List name, address, city, state, zip and Membership Category)



______________________________________________               ___________________________

      Your  Signature                                                                                      Date


______________________________________________
       F. C. H. S. Official Signature



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