Membership

2010 Ozaukee County Historical Society Membership

Sign me up!! I’m ready to take my place in history.

(If you have already Paid or are a lifetime member – why not pass this form along to a friend!!)

1 RENEWAL 1 NEW MEMBERSHIP

Name _______________________________________________________

Address _____________________________________________________

City ____________________________ Zip  _________________________

Spouse’s ________________________ Phone _____________________

Number of children in household under age 18 _____

1 Single $20 1 Family $40 1 Business/Professional $75
1 Individual Lifetime $225 1 Husband/Wife Lifetime $350

Here's my additional tax-deductible donation for:

1 Ozaukee County Pioneer Village Restoration, 1 Interurban depot to Interurban Depot Restoration, 1 Archives Research Center.   1 Stony Hill School 1 Harold Dobberpuhl Memorial Scholarship

1Memorial Gift In Memory of  (Specify)  _____________________________________________
1 Use where needed most.
1 YES! Please call when you need volunteer HELP!

Membership is from January 1st to December 31st.

Please print this page and  send to:

Ozaukee County Historical Society
PO Box 206
Cedarburg, WI 53012-0206
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