Annual Membership Dues
(January-December; please check desired membership)
______Active Individual ($10)______Active Family ($15)______Youth (under 18) ($2)
______Contributing ($15 Plus) ______Group/Organization ($25) ______Business/Professional ($100)
______Business-ad in newsletter and all events ($150) ______Life Membership ($1,000)
Date_______________New______________Renewal_______________
Name______________________________________________________ Address____________________________________________________City______________________________State_________Zip_________
Home Phone__________________Work Phone____________________
Fax_________________________E-mail_________________________
Mail to:
Historical Society of Carnegie
1 West Main Street, Carnegie, PA 15106-0826
Created by T Cook ... November 30, 2000