Memorial Donation

If you would like to help support the LaGrange County Historical Society and the Machan House Museum by making a donation in memory of a loved one, please send it to the above address.  Simply copy this form and fill out the information.  We thank you in advance for your donation made in the spirit of generosity.

Your Name:

Street Address:

City/State/Zip:

Email:

Name of person that memorial is dedicated to and your relationship:

 

     

 

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© 2006 LaGrange County Historical Society  
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