Please check the membership desired, fill out the form and press the print button.

Mail application with payment to:

Rockingham County Historical Society, Inc.

PO Box 84, Wentworth, NC 27375

Yes, I want to become a member of the Rockingham County Historical Society

STUDENT $2.00

INDIVIDUAL $20.00

FAMILY $25.00

CONTRIBUTING $30.00

SPONSOR $40.00

DONOR $75.00

PATRON $150.00

LIFE MEMBER $500.00

First Name:

Last Name:

Company:

Address:

City:

State:

Zip:

Phone Number:

Fax Number:

Email:

Other Comments:

Back to membership page.