Member Form Name* First Last Address* Street Address Address Line 2 City State ZIP Code Phone*Email* Membership Option*Select one ...Student (individual annual membership) - $20Friend of the Historical Society (individual annual membership) - $30Family (annual membership, all members in household) - $50Patron (individual annual membership) - $100Business Partner (annual membership) - $250Benefactor (life membership) - $500Total $0.00 Credit Card
