MEMBERSHIP FORM

     The Historical Preservation Society of the Upper Keys is a non-profit Florida Corporation and is tax exempt under Internal Revenue Code section 501(c)(3). Preserving and passing on a rich cultural heritage to future generations are our goals and is the purpose of this web site.   -  -  -  -  -  -  -  -  -  -  - -  -  -  -  -  -  -  -  -  -  -  -  - -  -  -  -  -  -  -  -  -  -  -  -  - -  -  -  -  -  - 

 * * * APPLICATION FOR MEMBERSHIP, DUES and/or ADDRESS CHANGE * * *
THE HISTORICAL PRESERVATION SOCIETY OF THE UPPER KEYS, INC.
P.O. Box 2200             Key Largo, FL 33037     (305) 852-1620


Name ______________________________________________ Phone ____________________
        Winter address:  month (                      )                         Summer address: month (                      )
Street _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _       Street _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

City _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _      City _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

State _ _ _ _ _ _ _ _ _ _ _ ZIP _ _ _ _ _ _ _  _ _           State _ _ _ _ _ _ _ _ _ ZIP _ _ _ _ _ _ _ _ _ _ _
 
Email address: ______________________________________________
   Annual Dues:   Family $20     Supporting $25     Contributing $30    Patron $50     Life $300.00
   Please mail with your tax deductible check to H.P.S.U.K. at the above address.                  

- ADDITIONAL INFORMATION -
1) Supporting members are not expected to volunteer for committees, etc.
2) Dues are due January 1st of each year.
 3) To print a copy: Turn on your printer and click "Print" after Clicking HERE.

Return to General History

E-Mail to editor

Return to Home Page