Membership Form
Dayton Area Local History Society


Please print out this form
(or write on a piece of paper the following information),
and mail to:
DALHS
PO Box 447
Dayton, PA 16222

Membership Type:

Lifetime, $125
Family, $25 per year
Individual, $15 per year
Donation
Your full name:
PHONE: HOME:
  CELL:
You only need to give the number
where you prefer to be contacted
ADDRESS:
EMAIL:


Memberships cover the fiscal year from June 30 to July 1
the following year. 

Thank you for your interest in the Dayton Area Local History Society!
We look forward to meeting you!