| Bronzeville Historical Society |
| MEMBERSHIP FORM Bronzeville/Black Chicagoan Historical Society Membership Application Form Please print or type Name_______________________ ___ Address_____________________ __ City ____________State ____ Zip Code ___________ Telephone Number _____________________ Fax__________ Your E-mail address: ____________________________ __ Type of membership: ______ Individual $18.00 ______ Contributing $30.00 ______ Family - $21.00 ______ Life Member $250.00 (Canada and outside the U.S. please add $3.00 in U.S. funds to the above amountAdd a Contribution to the National Archives Fund ($1.00 suggested) Submit Bronzeville People, Places or Events you would like to have noted in the historical society newsletter. Make check payable to : Bronzeville Historical Society P.O. Box 53345 Chicago, IL 60653-0345 E-mail: Chgoblackhistory@sbcglobal.net www.bronzevillehistoricalsociety.co m 773 291-9114 phone 773 291-9115 fax Date: ______________ Signature: _____________________ |
Pioneer Certificates African American descendants of
early residents of Chicago, or Cook County, can apply for
Pioneer Certificates. If you have any Chicago or Cook
County ancestors who arrived in the area prior to the
Chicago Fire of October 8, 1871, you are eligible.
Pullman Porter and Provident Hospital Certificates are
available also.
early residents of Chicago, or Cook County, can apply for
Pioneer Certificates. If you have any Chicago or Cook
County ancestors who arrived in the area prior to the
Chicago Fire of October 8, 1871, you are eligible.
Pullman Porter and Provident Hospital Certificates are
available also.
| Bronzeville Historical Society |
| 773 291-9114 |
| 773 291-9115 |
