Membership Application
Membership Application / Donation FormMuskego Historical Society Name____________________________________________________________________________ Address___________________________________________________________________________ City_____________________________________________State___________ZIP_______________ Phone______________________________________Email_________________________________ |
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| ANNUAL MEMBERSHIP DUES | |
| ___Individual Membership $10 | |
| ___Family Membership $15 | |
| ___Student Membership $5 | |
| ___Lifetime (Individual) $200 | |
| ___Lifetime (Couple) $300 | |
| ___Business Membership $50 | |
| ___Benefactor $100 | |
| Donor in the sum of $_________ | |
| I am interested in serving as: | |
| ___Board Member | |
| ___Fundraising | |
| ___Program Planner (Historical Day, Farmer’s Market, Autumn Harvest Fest, etc.) | |
| ___Newsletter | |
| ___Inventory | |
| ___Scrapbook photographer | |
| ___Gardening | |
| ___Baker | |
| ___Publicity | |
| Return form and check to: | |
| Muskego Historical Society | |
| PO Box 137 | |
| Muskego, WI 53150 | |
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