custom-header

To Become a Member

To Become a Member

 

The CCHS Membership Form” (click on Form to open)

If you’re unable to open the CCHS Membership Form above, please contact us at the address below and we’ll mail you the membership form.  Please be sure to include your name and mailing address.

 

Cleveland County Historical Society

P.O. Box 192

Rison, Arkansas 71665

MEMBERSHIP FORM

NAME____________________________________________________________Address____________________________________________________________City/State/Zip_______________________________________________________

E-MAIL: ______________________________________

Phone: _________________________________________

DUES: Please circle your choice.

Individual Membership $15.00

Family Membership $25.00

(Please list name of spouse if family membership__________________________________________

Organization Membership…. $35.00

Date paid: _____________________________

Checks should be made payable to CCHS.Memorials and Donations are also accepted. We are a 501(c)3 organization. Donations are tax-deductible.

——————————————————————————————————————————-

Please list any names that you may be researching in Cleveland County, Arkansas, and the community in which they may have lived. Please include any variant spellings of the surname and any nicknames or shortened forms of given names.

____________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please list any historical documents or photographs or information; school, church, or community histories; or artifacts that you may be willing to share with the CCHS or on which you would be willing to give a program.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________