Vicksburg and Warren County Historical Society

Membership Form

Please print and complete the form below and mail it to us at:

Vicksburg & Warren County Historical Society

C/O The Old Court House Museum

1008 Cherry St.

Vicksburg, MS 39183

Name: ___________________________________________________________

Address: _________________________________________________________

                                              City: __________________        State:______   Zip Code:________________

                                 Phone Number: _____  _________          Work Number:  _____ __________

                                             E-Mail Address:______________________________________________________

                          Categories of Membership

_____  Individual $25.00             _____ Friend $50.00

_____ Contributing $100.00    _____ Special $250.00

_____ Supporting $500              _____ Patron $1,000

$_________ enclosed.  Please make checks payable to the Vicksburg and Warren County Historical Society.  Thank you for your generous support!

P. S.

If you would like to bring your completed membership form and check to the Museum, you may select one of the following gifts:

                        Individual Membership – A Key Chain

                        Friend of the Museum - A Coffee Mug

                        Contributing Member and Special Contributor - A Tee Shirt

                        Supporting Member – A choice of one of the following books: 

Birthright by Clay Blount

Written In the Bricks by Mary Carol Miller

On Her Own Ground by A’Lelia Bundles

Patron of History Membership – One each of Key Chain, Coffee Mug, Tee Shirt and Book