Name - ____________________________________________________________________________________

 

Address - _______________________________________________________________________________________________________________________________

                  Street                                                                      City                                                State                                  Zip

 

Telephone - _________________________________________________________ Email - __________________________________________________________

 

Please Check Your Membership Level

__________ - Individual - $25.00           __________ - Family - $40.00           __________ - Patron - $100.00

 

__________ - Small Business (50 Employees or Less) - $150.00          __________ - Corporate (51 Employees or More) - $250.00

 

Please note: The dues schedule is only a suggestion. We are grateful for all contributions.

All Contributions are Tax Deductible.

Please make your check payable to: Wabasha County Historical Society

 

Mail to: Wabasha County Historical Society     PO Box 255     Lake City, MN     55041

 

Please Check Your Area(s) of Interest

 

            __________ - Officer/Board Member          __________ - Artifact Inventory          ___________ - Fundraising

 

            __________ - Membership Drives               __________ - Building Grounds         ___________ - Exhibit Design/Planning

 

            __________ - Genealogy                              __________ - Public Relations            __________ - Guide/Docent

 

            __________ - Grant Writing                         __________ - Special programing     __________ - Other ___________________________