Kreutz Creek Valley Preservation Society
MEMBERSHIP APPLICATION
The Kreutz Creek Valley Preservation Society was formed
to promote an interest in the history of the area defined as Hallam
Borough and Hellam Township.
NAME:....................................................................................................................................................
ADDRESS:..............................................................................................................................................
CITY:.......................................................................STATE:.....................ZIP:......................................
HOME PHONE:.....................................................WORK
PHONE:...................................................
Specific area of interest:
.........Architecture .........Natural Resources
.........Research .........Genealogy
Dues $10.00
.........Payment Enclosed
.........Please bill me
*Dues are for Jan-Dec. If joining during or after July, dues are
$5 for Jul-Dec.
Payable to: The Kreutz Creek Valley Preservation Society
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