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Alexandria Society for the Preservation of Black Heritage Membership Application
Please print and complete this form and mail it with a check or money order payable to:

The Alexandria Society for the Preservation of Black Heritage, Inc.
(ASPBH. Inc.)
P.O. Box 3527
Alexandria, Virginia 22302

Membership Term (Select One)
Fiscal year 1 January 31 December
 
Membership Type (Select One)
Organization
$25.00 per year
Adult
$20.00 per year
Youth (under 18)
$5.00 per year
 
Member Information
Name:
Address:
City: State: Zip Code:
Telephone:
 
Interested in Volunteering? (Select One)
YES NO

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