Friends of Local History - Membership

Name(s): __________________________________________________

Address: ___________________________________________________

______________________________________Zip Code: ____________

Telephone: ____________________Email: _______________________

[ ] Please check to indicate change of address

[ ] Patron $500	[ ] Couple $35
[ ] Sponsor $100	[ ] Individual $25
[ ] Sustainer $ 50	[ ] Associate $10

The Effie Dunstan Fund for Early Virginia History is used to purchase books for the collection that focus only on Antebellum Virginia.

Yes, I am donating an extra $______ to my membership above to help support the Effie Dunstan Fund.

Please make your check payable to & mail to:

Friends of Local History

717 Queen St.

Alexandria, VA 22314

Thank you!

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