CHS Membership Page

How do I join? Choose one of the following categories:
Student            $ 1
Individual         $ 10
Family             $ 20
Contributing     $ 35
Sustaining       $ 50
Corporate       $100
Life               $ 150
Patron           $ 500
Benefactor   $ 1000

Dues are payable annually on November 1.
**All contributions are tax deductible.**

Print this page, complete the following information, then mail this page and your check to:
Clearwater Historical Society
P.O.Box 175
Clearwater, FL 33757

Name_____________________________________________________________

Address__________________________________________________________

City___________________________ State______ Zip__________________

Phone(_____) __________________



The only membership requirement is your interest!

_____I will enjoy serving on a committee.
_____I would be interested in serving on the maintenance committee.
_____I will be glad to be a docent on Saturdays.
_____It would be a great honor to be on the Board of Directors of the Clearwater Historical Society!
_____I have family pictures, papers, etc., that I will give or loan to the Society.
Comments:__________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________



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