NORTH MANCHESTER
HISTORICAL SOCIETY
MEMBERSHIP FORM FOR THE CURRENT YEAR
Join Now/Renew Now...
NAME _________________________________________
ADDRESS _______________________________________
_______________________________________________
CITY ___________________________________________
STATE______________________ ZIP __________________
E-MAIL ________________________________________
PHONE ________________________________________
Yes, I would like to become a member of the
North Manchester Historical Society at the following level:
Kind of Membership (1 year):
□
Individual
Membership…………………………………………..
$ 30.00
□
Couples
Membership………………………………………………
$ 50.00
□
Family
Membership………………………………………………..
$ 60.00
□
Grandparents
Membership……………………………………..
$ 60.00
□
Sustaining
Membership………………………………………....
$ 75.00
□
Supporting
Membership……………………………………….
$100.00
□
1 year newsletter
only………………………………………….
$ 20.00
□
GIFT TO SUPPORT:
donation of $ ______________________ toward:
________ General, Unrestricted
________ Center for History
________ Thomas Marshall House
________ Endowment
________ Other (Please specify: ______________________________________________
Dues are valid from Jan 1 to Dec 31.
Membership includes a newsletter
subscription, free admission to the N.M. Center for History, 10% gift
shop discounts and other benefits. Thank you for your support!
Make checks payable to North Manchester
Historical Society, Inc.
P.O. Box 361, North
Manchester, Indiana 46962