Special Note: You do not have to be a resident of Surprise to join - we welcome everyone to participate!
MEMBERSHIP FORM
SURPRISE HISTORICAL SOCIETY MEMBERSHIP APPLICATION
Mission Statement for the Surprise Historical Society:
"To inspire the people of Surprise to be interested in the roots of the community in which they live."
*THE SURPRISE HISTORICAL SOCIETY ORGANIZATIONAL MEMBERSHIP FEES:
$15.00 PER PERSON (PER YEAR): ______ PATRON: $__________
Please fill out a separate application for each member/patron
PLEASE PRINT INFORMATION BELOW:
DATE: _________________ NEW: _____ RENEWAL: _____
NAME: _____________________________________________________________
ADDRESS: _____________________________________________________________
_____________________________________________________________
CITY: _________________ STATE: ___________ ZIP CODE: _______________
PHONE: _______________ CELL: ____________
E-MAIL ADDRESS: _________________________________________________
$ AMOUNT ENCLOSED: __________________
PLEASE MAKE CHECKS PAYABLE TO: THE SURPRISE HISTORICAL SOCIETY, LLC
REGISTRATION: Please mail registration form and check to:
President, Nancy Alcock
20004 N. Window Rock Drive
Surprise, Arizona 85374
Questions, please call: 623-266-0988
Please visit our website at: www.thesurpriseazhistoricalsociety.com
"*The Surprise Historical Society LLC is a non-profit company, registered in the State of Arizona".
We thank you for supporting the History of Surprise