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