MCHS  Membership Application Form

This form can be printed and brought or mailed to the Historical Society Office

 Individual Annual Membership

 $10 Annual Donation

 

 Family Annual Membership

 $15 Annual Donation

 

 Lifetime Membership

 $100 Donation

 

 Patron Membership

 $2,500 Donation

 

 Museum Restoration

 $50 small paver recognition

 

 Museum Restoration

 $500 medium paver recognition

 

 Museum Restoration

 $1,000 large paver recognition

 

Extended Membership Categories Open to Life and Patron Members

 Contributing Membership

 $50 Annual Donation

 

 Sustaining Membership

 $100 Annual Donation

 

 Corporate Sponsor

 $200 Annual Donation

 

 Corporate Patron

 $1,000 Annual Donation

 

 

 Name: ______________________________________________________________

 

 Address: ____________________________________________________________

 

 City, State and zip code: _______________________________________________

 

 e-mail: ___________________________________    Phone Nr: ___________________________

 

  MAKE CHECK PAYABLE TO:

  Monroe County Historical Society (MCHS)

 

  MAIL YOU CHECK AND APPLICATION TO:

  Monroe County Historical Society (MCHS)

  P.O. Box 538, Woodsfield, Ohio   43793-0538

 

  IF YOU HAVE QUESTIONS OR NEED HELP:

  Please Call the MCHS office at (740) 472-1933

  or  e-mail  or  write us at the above address

 

 

Note:  The promotional CD credit is limited to new and renewal Individual and Family Memberships

 

MCHS website:  http://www.rootsweb.com/~ohmchs/