WELCOME TO THE HISTORICAL SOCIETY OF THE COCALICO VALLEY
PRESERVING - EDUCATING - SHARING
The Historical society of the Cocalico Valley
249 West Main Street, P. O. Box 193
Ephrata, Pa 17522
State __________ ZIP ____________
Phone (__________) ___________________
( ) Individual Member $25..00
( ) Family Member $35.00
( ) Junior Membership (under age 17) $10.00
( ) Life Member (Individual) $500.00
( ) Business Member $75.00
Dues paid after October 1 by new members will be applied to the following year.
Payment to be made by check only.
Print and mail in this application with your payment to the above address. Thank you.