Lancaster County Historical Society
http://www.lancasterhistory.org/
Ephrata Borough
Ephrata Chamber of Commerce
Ephrata Public
Library
Virtual Ephrata
The Historical society of the Cocalico Valley
249 West Main Street, P. O. Box 193
Ephrata, Pa 17522
717 733-1616
Name ______________________________________________
Address ____________________________________________
City ________________________
State __________ ZIP ____________
Phone (__________) ___________________
MEMBERSHIP CATEGORY
( ) Individual Member $20..00
( ) Family Member $30.00
( ) Junior Membership (under age 17) $10.00
( ) Life Member (Individual) $500.00
( ) Business Member $75.00
Dues paid after October 1 by new members will be applied to the following year.
Payment to be made by check only.
Mail in this application with your payment to the above address. Thank you.