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MEMBERSHIP FORM
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LANGLADE COUNTY HISTORICAL SOCIETY

MEMBERSHIPS

Memberships are for file calendar year
January 1 thru December 31.

Individual Member-one year--$10.00
Individual Member-three year--$25.00
Family Membership-one year--$25.00
Family Membership-three year--$60.00
Jr. Historian (18 or younger) one year--$1.00
Business/Professional member-one year--$100.00
Life Member--$200.00

Name:______________________________________________


Address:________________________________________


City: ____________________  State:____   Zip:__________

Telephone Number:( )____-__________

Learn more about Langlade County by becoming a Volunteer would like to

Volunteer:   Yes________      No__________

I am available: as needed, M  T  W  T  F  S  S.

Hours________

Send Membership form and check to:
Langlade Co. Historical Society P O Box 219, 404 S Superior, Antigo WI 54409
Phone (715)627-4464