Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you affirm your home's age? *

Please identify your source:

Franklin County Auditor (www.franklincountyauditor.com)

Sanborn Insurance Maps

Other (e.g., abstract, newspaper notice); please explain below:

In which Society membership category are you requesting a marker? *

Once you submit your application, you will be asked to do a final checkout at which time you can pay for your marker category.

Current Member (free first marker in 2024)

New Single Member ($30 membership plus free first marker in 2024)

New Family Member ($60 membership plus free first marker in 2024)

Non-Member ($10 for first marker in 2024)

Replacement marker ($10 in 2024)

Getting your marker: *

Have your marker delivered to your home.

Affirmation *

I affirm that the information in this application is true and accurate to my best knowledge and belief.

Please check this box to acknowledge the affirmation statement above.