Izard County Arkansas Historical & Genealogical Society
Membership Form
Calendar Year January 1 through December 31
Membership includes the Izard County Historian which is published every quarter.
Send this form with your annual dues to:
Izard County Historical & Genealogical Society
P.O. Box 306
Pineville Arkansas
72566
Date________________________
Name _______________________________________________________
Last First Maiden
Address ____________________________________________________
State,Zip __________________________________________________
E-Mail __________________________ _________________________
Phone #
Family/Household Membership_______________$20 (ex.husband/wife)
Contributing Membership________________$20.01-$199.99
Life Membership______________$200.00
Donation___________________
