Membership Application Form

Membership Application Form
Initial application fee of $260 includes application review and first year of membership. Thereafter, annual membership renewal dues are $160.
PERSONAL INFORMATION
Applicant Name
Spouse or S/O
Email
Mobile
Format: 000-000-0000.
Address

Street Address Line 2

SPONSOR INFORMATION
If one, or more, of our valuable members has encouraged you to join us, please let us know below.
Sponsor 1 Name
Sponsor 2 Name
BACKGROUND CHECK
By submitting this application, I acknowledge and understand that the Hernando De Soto Historical Society may conduct a background check as part of the application and approval process. I authorize the Society to obtain and review information relevant to my application for the purpose of evaluating my eligibility.
Applicant Signature