Milan Area Historical Society

Milan, Michigan

Membership Application Form

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Name: __________________________________________________________________________

Address: ________________________________________________________________________

City/State/Zip: ___________________________________________________________________

Telephone: ______________________________________________________________________

E-Mail: _________________________________________________________________________


Membership Type:

____		Individual		$ 15
____		Family		$ 25
____		Senior Individual		$ 10
____		Senior Family		$ 15
____		Business		$ 50
____		Patron		$100
____		Extra Gift		____
____		Total		____

Directions:

• Print the Application Form
• Fill in Name and Address
• Select Membership Type (use check mark or an X )
• Write the check (no cash please)
• Mail the Application and Check.

Make Checks payable to:       Milan Area Historical Society


Mail to:
Milan Area Historical Society
P.O. Box 245
Milan, MI 48160