Donation Form
(Print and complete this form and submit it with your donation)

Collinsville Historical Association
P.O. Box 849
Collinsville, AL 35961

Please  Print

Name: ______________________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: ______________________________________________________________________
Telephone: ______________________________________________________________________
Email: ______________________________________________________________________
Donation: __________________
Comments: ______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

 

 

 

Thank you for you support!!!