Membership Application
Join the Pintlala Historical Association
Please print and mail completed form & dues to:
Pintlala Historical Association
c/o Ina Slade
15212 US Hwy 31
Hope Hull, AL 36043
Name ___________________________________________________________
Address _________________________________________________________
City, State, Zip ___________________________________________________
Phone (Home & Office) _____________________________________________
E-mail Address ____________________________________________________
Areas of Interest __________________________________________________
If you are interested in genealogy, please indicate family surnames ___________
________________________________________________________________
$15.00 Annual Dues for family - Make checks to PHA.