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Printable
Form
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Membership Form
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Please print the membership form below and mail with your check or money order to:
MEMBERSHIPS
Neenah Historical Society
P.O. Box 343
Neenah WI 54957-0343
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Date:__________________
Name: ___________________________________Telephone:__________________
Address:__________________________________Apt:_________________________
City:______________________________________State:________Zip:____________
E-Mail:________________________________________________________________
Winter Address:________________________________________________________
Dates: From_________________ to ___________________ |
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Annual Membership
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Individual |
$ 15.00 |
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Benefactor |
$ 500.00 |
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Student |
$ 5.00 |
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Sponsor |
$1,000.00 |
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Family |
$ 35.00 |
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Business |
$________ |
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Contributing |
$ 50.00 |
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Add'l gift for |
$_______ |
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Sustaining |
$250.00 |
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Endowment Fund |
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