Historical Preservation Society of the Upper Keys, Inc.

Post Office Box 2200 ● Key Largo, Florida 33037 ● Phone (305) 896-6526

www.keyshistory.org

Application for Membership, Annual Membership Renewal, and/or Address Change

 

Name:__________________________________________________________________________________________

Primary Address             

Street:___________________________________________________________________________________________

City:______________________________________________  State: _________________ Zip:___________________

Secondary Address (use this address from _______ to _______)

Street:___________________________________________________________________________________________

City:______________________________________________  State: _________________ Zip:___________________

Email Address: _____________________________________________________  Phone:________________________

Annual Dues:    Family $20    Supporting $25    Contributing $30    Patron $50    Sustaining $100

Please mail with your tax deductible check to H.P.S.U.K. at the above address. Thank you!